Vaccines CPT 90381 Inpatient — admitted to hospital

RSV antibody shot (100 mg dose) cost in New York, NY — inpatient

In New York-Newark-Jersey City, NY-NJ, 14 hospitals list a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) as an inpatient: from $201.04 to $2,143.00, with a median of $1,075.24. The lowest listed price is at Mount Sinai Brooklyn — $874.20 less than the median here. Across New York, the median is $1,031.86 at 47 hospitals.

Cash prices at 14 facilities across 9 cities for code 90381, as an inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Jul 28, 2026.

Lowest$201.04Mount Sinai Brooklyn
Median$1,075.24half of hospitals charge less
Highest$2,143.00in this market
Difference10.7×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in New York-Newark-Jersey City, NY-NJ.

median
Lowest $201.04Highest $2,143.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Mount Sinai Brooklyn lowest Brooklyn, NY HC Nirsevimab-Alip 100mg/1ml File of Apr 1, 2026 · source file $201.04 $223.38 — 10%
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 NIRSEVIMAB-ALIP 100MG/1ML SYR File of Apr 1, 2026 · source file $395.00 $395.00 — —
Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE source file $590.92 $3,496.57 — 83%
Overlook Medical Center Summit, NJ · (908) 522-2000 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE source file $738.30 $3,747.71 — 80%
Morristown Medical Center Morristown, NJ · (973) 971-5450 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE source file $757.04 $3,747.71 — 80%
Interfaith Medical Center Brooklyn, NY *Peds nirsevimab-ALIP 100 MG/ML Sosy 1 mL Syringe source file $1,035.22 $211.68 $1,035.22–$2,329.24 -389%
The Mount Sinai Hospital New York, NY · (212) 241-7981 nirsevimab-alip 100 mg/mL syringe 1 mL Syringe File of Apr 1, 2026 · source file $1,058.26 $1,175.85 — 10%
NYU Langone – Orthopedic Hospital New York, NY RSV MONOC ANTB SEASN 1 ML IM File of Jan 1, 2026 · source file $1,092.21 $5,748.50 $57.48–$5,748.50 81%
NYU Langone Mineola, NY RSV MONOC ANTB SEASN 1 ML IM File of Jan 1, 2026 · source file $1,092.21 $5,748.50 $57.48–$5,748.50 81%
NYU Langone Brooklyn, NY RSV MONOC ANTB SEASN 1 ML IM File of Jan 1, 2026 · source file $1,092.21 $5,748.50 $57.48–$5,748.50 81%
NYU Langone – Tisch Hospital New York, NY · (212) 263-7300 RSV MONOC ANTB SEASN 1 ML IM File of Jan 1, 2026 · source file $1,092.21 $5,748.50 $57.48–$5,748.50 81%
NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 RSV MONOC ANTB SEASN 1 ML IM File of Jan 1, 2026 · source file $1,092.21 $5,748.50 $57.48–$5,748.50 81%
The Valley Hospital Paramus, NJ · (201) 447-8000 RSV MONOC ANTB SEASN 1.0ML IM+1 more line at this price source file $1,978.70 $3,297.83 $553.91–$2,869.11 40%
Westchester Medical Center Valhalla, NY · (914) 493-7000 NIRSEVIMAB 100MG/1ML INJ File of Jul 28, 2026 · source file $2,143.00 $2,143.00 $642.90–$2,143.00 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Inpatient: lowest $201.04, median $1,075.24, highest $2,143.00 — a 10.7× difference within the same market.

As an outpatient, the same code is billed by 27 facilities here, median $821.20 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 7 of 8 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is the larger dose (100 mg) of nirsevimab (Beyfortus), an antibody shot that protects infants from severe RSV. Babies weighing 5 kg (11 lb) or more in their first RSV season get this dose, and high-risk toddlers get two of them in their second season.

What the price covers

The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit, 90472 for each additional one).

3 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 90381 ($980.10). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
Brookdale Hospital Medical Center Brooklyn, NY*Peds nirsevimab-ALIP 100 MG/ML Sosy 1 mL Syringe $0.01 file
Maimonides Medical Center Brooklyn, NYRSV MONOC ANTB SEASN 1 ML IM $0.01 file
Nassau University Medical Center East Meadow, NYNirsevimab-Alip 50mg/0.5ml $0.87 file
File Link to the hospital's own price file.