RSV antibody shot (100 mg dose) cost in Raleigh, NC — inpatient
In Raleigh-Cary, NC, 3 hospitals list a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) as an inpatient: from $744.88 to $838.37, with a median of $744.88. The lowest listed price is at WakeMed Raleigh Campus and 1 other hospital. Across North Carolina, the median is $1,411.12 at 37 hospitals.
Cash prices at 3 facilities across 2 cities for code 90381, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 11, 2026 and Apr 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Raleigh-Cary, NC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| WakeMed Raleigh Campus lowest Raleigh, NC · (919) 350-8000 nirsevimab-alip 100 mg/mL Syrg 1 mL Syringe+1 more line at this price File of Feb 11, 2026 · source file | $744.88 | $1,960.20 | $458.49–$1,764.18 | 62% |
| WakeMed Cary Hospital lowest Cary, NC · (919) 350-2550 HC Rsv Monoc Antb Seasn 1 Ml Im+1 more line at this price File of Feb 11, 2026 · source file | $744.88 | $1,960.20 | $458.49–$1,764.18 | 62% |
| Duke Health Raleigh Hospital Raleigh, NC · (919) 684-8111 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE+1 more line at this price File of Apr 1, 2026 · source file | $838.37 | $3,105.08 | $714.17–$3,105.08 | 73% |
| Duke Health Raleigh Hospital Raleigh, NC · (919) 684-8111 Rsv Monoc Antb Seasn 1 Ml Im (Beyfortus)+1 more line at this price File of Apr 1, 2026 · source file | $838.63 | $3,106.02 | $702.27–$3,106.02 | 73% |
Inpatient: lowest $744.88, median $744.88, highest $838.37 — a 1.1× difference within the same market.
As an outpatient, the same code is billed by 3 facilities here, median $744.88 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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).