Vaccines CPT 90381 Inpatient — admitted to hospital

RSV antibody shot (100 mg dose) cost in San Francisco, CA — inpatient

In San Francisco-Oakland-Fremont, CA, 12 hospitals list a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) as an inpatient: from $365.68 to $3,418.04, with a median of $365.68. The lowest listed price is at Kaiser Foundation Hospital - Oakland/Richmond and 9 other hospitals. Across California, the median is $923.23 at 69 hospitals.

Cash prices at 12 facilities across 11 cities for code 90381, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Apr 1, 2026.

Lowest$365.68Kaiser Foundation Hospital - Oakland/Richmond + 9 more
Median$365.68half of hospitals charge less
Highest$3,418.04in this market
Difference9.3×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 San Francisco-Oakland-Fremont, CA.

median
Lowest $365.68Highest $3,418.04

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE source file $365.68 $653.00 — 44%
Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE source file $365.68 $653.00 — 44%
Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE source file $365.68 $653.00 — 44%
Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE source file $365.68 $653.00 — 44%
Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE source file $365.68 $653.00 — 44%
Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE source file $365.68 $653.00 — 44%
Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE source file $365.68 $653.00 — 44%
Kaiser Fnd Hospital - Richmond Campus lowest Richmond, CA · (510) 752-1000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE source file $365.68 $653.00 — 44%
Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE source file $365.68 $653.00 — 44%
Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE source file $365.68 $653.00 — 44%
Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 nirsevimab-alip 100 mg/mL Syringe 1 mL SYRINGE source file $1,042.49 $1,861.59 — 44%
Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 nirsevimab-alip 100 mg/mL Syringe 1 mL SYRINGE source file $1,042.49 $1,861.59 — 44%
Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 nirsevimab-alip 100 mg/mL Syringe 1 mL SYRINGE source file $1,042.49 $1,861.59 — 44%
Kaiser Fnd Hospital - Richmond Campus Richmond, CA · (510) 752-1000 nirsevimab-alip 100 mg/mL Syringe 1 mL SYRINGE source file $1,042.49 $1,861.59 — 44%
Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 nirsevimab-alip 100 mg/mL Syringe 1 mL SYRINGE source file $1,042.49 $1,861.59 — 44%
Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 nirsevimab-alip 100 mg/mL Syringe 1 mL SYRINGE source file $1,042.49 $1,861.59 — 44%
Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 nirsevimab-alip 100 mg/mL Syringe 1 mL SYRINGE source file $1,042.49 $1,861.59 — 44%
Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 nirsevimab-alip 100 mg/mL Syringe 1 mL SYRINGE source file $1,042.49 $1,861.59 — 44%
Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 nirsevimab-alip 100 mg/mL Syringe 1 mL SYRINGE source file $1,042.49 $1,861.59 — 44%
Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 nirsevimab-alip 100 mg/mL Syringe 1 mL SYRINGE source file $1,042.49 $1,861.59 — 44%
Sequoia Hospital Redwood City, CA · (650) 369-5811 NRSVMAB-ALIP 100MG/1MLINJ File of Feb 28, 2026 · source file $1,729.73 $4,752.00 $1,045.44–$3,896.64 64%
Stanford Health Care Tri-Valley Pleasanton, CA · (925) 847-3000 NIRSEVIMAB-ALIP 100 MG/ML IM SYRG File of Apr 1, 2026 · source file $3,418.04 $8,545.09 — 60%
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.

Inpatient: lowest $365.68, median $365.68, highest $3,418.04 — a 9.3× difference within the same market.

As an outpatient, the same code is billed by 13 facilities here, median $365.68 — 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).