Vaccines CPT 90381 Inpatient — admitted to hospital

RSV antibody shot (100 mg dose) cost in Philadelphia, PA — inpatient

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 7 hospitals list a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) as an inpatient: from $895.50 to $3,540.87, with a median of $895.50. The lowest listed price is at Inspira Medical Center Mullica Hill and 3 other hospitals. Across Pennsylvania, the median is $1,183.50 at 19 hospitals.

Cash prices at 7 facilities across 7 cities for code 90381, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Sep 21, 2026.

Lowest$895.50Inspira Medical Center Mullica Hill + 3 more
Median$895.50half of hospitals charge less
Highest$3,540.87in this market
Difference4.0×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $895.50Highest $3,540.87

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Inspira Medical Center Mullica Hill lowest Mullica Hill, NJ · (856) 363-1000 nirsevimab (cvx 307) alip preservative-free 100 mg/mL Sol File of Mar 24, 2026 · source file $895.50 $895.50 $170.14–$402.97 —
Inspira Health Center Woodbury lowest Woodbury, NJ nirsevimab (cvx 307) alip preservative-free 100 mg/mL Sol File of Mar 24, 2026 · source file $895.50 $895.50 $170.14–$402.97 —
Inspira Medical Center Elmer lowest Elmer, NJ · (856) 363-1000 nirsevimab (cvx 307) alip preservative-free 100 mg/mL Sol File of Mar 24, 2026 · source file $895.50 $895.50 $170.14–$402.97 —
Inspira Medical Center Mannington lowest Salem, NJ nirsevimab (cvx 307) alip preservative-free 100 mg/mL Sol File of Mar 24, 2026 · source file $895.50 $895.50 $170.14–$402.97 —
Nemours Children's Hospital, Delaware Wilmington, DE · (302) 651-4000 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY+1 more line at this price File of Mar 10, 2026 · source file $1,864.00 $1,864.00 — —
Holy Redeemer Hospital and Medical Center Meadowbrook, PA · (215) 947-3000 Nirsevimab-ALIP 100mg/1ml PFS File of Sep 21, 2026 · source file $2,094.12 $3,490.20 — 40%
The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY File of Dec 31, 2025 · source file $3,540.87 $3,540.87 $13.50–$3,186.78 —
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 $895.50, median $895.50, highest $3,540.87 — a 4.0× difference within the same market.

As an outpatient, the same code is billed by 7 facilities here, median $895.50 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 0 of 5 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).