RSV antibody shot (100 mg dose) cost in Richmond, VA
In Richmond, VA, 6 hospitals list a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg): from $327.60 to $3,499.00, with a median of $1,913.30. The lowest listed price is at Bon Secours St Francis Medical Center and 2 other hospitals — $1,585.70 less than the median here. Across Virginia, the median is $702.05 at 14 hospitals.
Cash prices at 6 facilities across 3 cities for code 90381, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 28, 2026; the hospital files themselves were last updated between Sep 1, 2026 and Sep 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 Richmond, VA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Bon Secours St Francis Medical Center lowest Midlothian, VA · (804) 594-7400 HC Rsv Vaccine Syncytial Monoclonal 1ml Dose for Im | $327.60 | $546.00 | — | 40% | — source file |
| Bon Secours Memorial Regional Medical Center lowest Mechanicsville, VA · (804) 764-6000 HC Rsv Vaccine Syncytial Monoclonal 1ml Dose for Im | $327.60 | $546.00 | — | 40% | — source file |
| Bon Secours St Marys Hospital of Richmond lowest Richmond, VA · (804) 285-2011 HC Rsv Vaccine Syncytial Monoclonal 1ml Dose for Im | $327.60 | $546.00 | — | 40% | — source file |
| Parham Doctors Hospital Richmond, VA · (804) 289-4500 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use | $3,499.00 | $3,499.00 | $1,892.29 | — | Sep 1, 2026 source file |
| Parham Doctors Hospital Richmond, VA · (804) 289-4500 BEYFORTUS 1 ML IM | $3,499.00 | $3,499.00 | $524.85–$3,499.00 | — | Sep 1, 2026 source file |
| Retreat Doctors Hospital Richmond, VA · (804) 289-4500 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use | $3,499.00 | $3,499.00 | $1,892.29 | — | Sep 1, 2026 source file |
| Retreat Doctors Hospital Richmond, VA · (804) 289-4500 BEYFORTUS 1 ML IM | $3,499.00 | $3,499.00 | $524.85–$3,149.10 | — | Sep 1, 2026 source file |
| Henrico Doctors Hospital - Forest Mechanicsville, VA · (804) 289-4500 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use | $3,499.00 | $3,499.00 | $1,892.29 | — | Sep 1, 2026 source file |
| Henrico Doctors Hospital - Forest Mechanicsville, VA · (804) 289-4500 BEYFORTUS 1 ML IM | $3,499.00 | $3,499.00 | $524.85–$3,499.00 | — | Sep 1, 2026 source file |
Outpatient: lowest $327.60, median $1,913.30, highest $3,499.00 — a 10.7× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $327.60. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 0 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 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).