RSV antibody shot (100 mg dose) cost in Virginia Beach, VA — inpatient
In Virginia Beach-Chesapeake-Norfolk, VA-NC, 2 hospitals list a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) as an inpatient: from $695.17 to $1,693.26, with a median of $1,194.22. The lowest listed price is at Riverside Smithfield Hospital — $499.05 less than the median here. Across Virginia, the median is $702.05 at 14 hospitals.
Cash prices at 2 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 Mar 17, 2026 and Mar 17, 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 Virginia Beach-Chesapeake-Norfolk, VA-NC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Riverside Smithfield Hospital lowest Smithfield, VA Nirsevimab, Rsv, Monoclonal Ab (Beyfortus) 100mg Inj per 1ml | $695.17 | $1,390.33 | — | 50% | — source file |
| Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 NIVSEVIMAB 100MG/ML PFS | $1,693.26 | $1,881.40 | $1,316.98–$1,730.89 | 10% | Mar 17, 2026 source file |
Inpatient: lowest $695.17, median $1,194.22, highest $1,693.26 — a 2.4× difference within the same market.
As an outpatient, the same code is billed by 2 facilities here, median $1,194.22 — that is the price to compare if you are not being admitted.
Cash or insurance?
At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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).
1 row held back from this comparison
It is 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.
| Children's Hospital of the King's Daughters Norfolk, VANIVSEVMB100MG/ML(VVFS) | $0.01 | file |