Vaccines CPT 90381 474 markets

RSV antibody shot (100 mg dose) cost without insurance

The median hospital cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) is $968.03 across 934 US hospitals; most list between $358.35 and $2,169.00. The lowest outpatient cash price in any of 474 markets is $116.13. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Sep 30, 2026 Each price links to its source file All Childhood vaccine costs

Lowest$116.13any market
Median market$900.34middle of market medians
Most below$2,169.009 in 10 hospitals
Listings932hospital prices

Compared with the vaccine's list price

$595.06 (Beyfortus) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $968.03 across 934 hospitals, is 1.6× that.

Giving the shot is billed separately (CPT 90471), and anyone who gives it adds a markup, so treat this as a floor: a concrete number to mention when you ask for a cash discount. Source: CDC.

What is CPT 90381?

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).

Why prices differ

Pediatric offices and health departments give most childhood vaccines, and hospital prices for the same dose vary widely.

What to ask

Ask whether the self-pay price for CPT 90381 includes giving the shot (90471) and whether the baby needs one dose or two.

Prices by state

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowest MedianHighest×
Abilene, KS single city 1 $825.00 $825.00 $825.00 1.0×
Albany, KY single city 1 $584.19 $584.19 $584.19 1.0×
Anaconda, MT single city 1 $1,234.73 $1,234.73 $1,234.73 1.0×
Antigo, WI single city 1 $1,023.75 $1,023.75 $1,023.75 1.0×
Appleton, MN single city 1 $1,082.90 $1,082.90 $1,082.90 1.0×
Armour, SD single city 1 $612.00 $612.00 $612.00 1.0×
Atkinson, NE single city 1 $624.00 $624.00 $624.00 1.0×
Atlantic, IA single city 1 $215.92 $215.92 $215.92 1.0×
Aberdeen, WA 1 $263.52 $263.52 $263.52 1.0×
Abilene, TX 2 $6,070.27 $6,070.27 $6,070.27 1.0×
Akron, OH 2 $774.75 $1,063.38 $1,352.00 1.7×
Albany, OR 1 $632.00 $632.00 $632.00 1.0×
Albemarle, NC 1 $1,006.20 $1,006.20 $1,006.20 1.0×
Albertville, AL 2 $3,619.54 $3,619.54 $3,619.54 1.0×
Allentown-Bethlehem-Easton, PA-NJ 1 $176.44 $176.44 $176.44 1.0×
Altoona, PA 1 $1,485.00 $1,485.00 $1,485.00 1.0×
Ames, IA 2 $495.20 $537.20 $579.20 1.2×
Anchorage, AK 2 $562.32 $1,532.03 $2,501.74 4.4×
Anderson Creek, NC 1 $1,813.10 $1,813.10 $1,813.10 1.0×
Ann Arbor, MI 1 $353.20 $353.20 $353.20 1.0×
Appleton, WI 2 $564.66 $564.66 $564.66 1.0×
Asheville, NC 2 $4,237.88 $4,237.88 $4,237.88 1.0×
Astoria, OR 2 $472.00 $1,311.49 $2,150.97 4.6×
Atchison, KS 1 $1,333.00 $1,333.00 $1,333.00 1.0×
Atlanta-Sandy Springs-Roswell, GA 8 $1,077.54 $1,450.79 $3,196.00 3.0×
Atlantic City-Hammonton, NJ 1 $529.99 $529.99 $529.99 1.0×
Auburn, IN 1 $1,135.24 $1,135.24 $1,135.24 1.0×
Augusta-Richmond County, GA-SC 3 $1,077.54 $1,077.54 $1,247.40 1.2×
Austin-Round Rock-San Marcos, TX 4 $1,349.00 $1,445.00 $1,811.93 1.3×
Bad Axe, MI single city 1 $722.00 $722.00 $722.00 1.0×
Belmond, IA single city 1 $1,071.11 $1,071.11 $1,071.11 1.0×
Berlin, WI single city 1 $564.66 $564.66 $564.66 1.0×
Brookville, PA single city 1 $1,485.00 $1,485.00 $1,485.00 1.0×
Bryan, OH single city 1 $771.18 $771.18 $771.18 1.0×
Buckhannon, WV single city 1 $789.00 $789.00 $789.00 1.0×
Burns, OR single city 1 $720.91 $720.91 $720.91 1.0×
Bakersfield-Delano, CA 2 $156.56 $512.26 $867.96 5.5×
Baltimore-Columbia-Towson, MD 4 $667.86 $1,570.24 $1,927.37 2.9×
Barre, VT 1 $903.69 $903.69 $903.69 1.0×
Batavia, NY 1 $1,031.86 $1,031.86 $1,031.86 1.0×
Bay City, MI 1 $750.90 $750.90 $750.90 1.0×
Beatrice, NE 1 $638.00 $638.00 $638.00 1.0×
Beaver Dam, WI 1 $1,723.23 $1,723.23 $1,723.23 1.0×
Bemidji, MN 1 $494.63 $494.63 $494.63 1.0×
Bend, OR 1 $646.40 $646.40 $646.40 1.0×
Billings, MT 1 $1,621.00 $1,621.00 $1,621.00 1.0×
Birmingham, AL 2 $462.03 $2,900.46 $5,338.88 11.6×
Bismarck, ND 2 $268.23 $423.72 $579.20 2.2×
Bloomington, IL 1 $856.89 $856.89 $856.89 1.0×
Bluefield, WV-VA 1 $1,183.50 $1,183.50 $1,183.50 1.0×
Boise City, ID 3 $471.90 $607.13 $607.13 1.3×
Boston-Cambridge-Newton, MA-NH 5 $354.73 $1,296.95 $1,296.95 3.7×
Bowling Green, KY 2 $584.19 $584.19 $584.19 1.0×
Bozeman, MT 2 $499.20 $499.20 $499.20 1.0×
Brainerd, MN 1 $742.20 $742.20 $742.20 1.0×
Bremerton-Silverdale-Port Orchard, WA 1 $1,079.67 $1,079.67 $1,079.67 1.0×
Brevard, NC 1 $4,237.88 $4,237.88 $4,237.88 1.0×
Brownwood, TX 1 $5,957.86 $5,957.86 $5,957.86 1.0×
Bucyrus, OH 1 $2,227.85 $2,227.85 $2,227.85 1.0×
Buffalo-Cheektowaga, NY 2 $1,539.00 $1,597.76 $1,656.52 1.1×
Burlington-South Burlington, VT 1 $1,507.04 $1,507.04 $1,507.04 1.0×
Cadiz, OH single city 1 $789.00 $789.00 $789.00 1.0×
Cambridge, NE single city 1 $693.00 $693.00 $693.00 1.0×
Caro, MI single city 1 $722.00 $722.00 $722.00 1.0×
Centerville, IA single city 1 $649.00 $649.00 $649.00 1.0×
Chanute, KS single city 1 $761.52 $761.52 $761.52 1.0×
Charles City, IA single city 1 $436.40 $436.40 $436.40 1.0×
Charlevoix, MI single city 1 $1,434.80 $1,434.80 $1,434.80 1.0×
Cheraw, SC single city 1 $538.18 $538.18 $538.18 1.0×
Cherokee, IA single city 1 $1,029.60 $1,029.60 $1,029.60 1.0×
Clarinda, IA single city 1 $371.70 $371.70 $371.70 1.0×
Clarion, IA single city 1 $1,071.11 $1,071.11 $1,071.11 1.0×
Clay Center, KS single city 1 $800.85 $800.85 $800.85 1.0×
Concord, NC single city 1 $1,177.25 $1,177.25 $1,177.25 1.0×
Corning, IA single city 1 $1,262.25 $1,262.25 $1,262.25 1.0×
Cottonwood, ID single city 1 $1,668.39 $1,668.39 $1,668.39 1.0×
Cuba, NY single city 1 $1,807.50 $1,807.50 $1,807.50 1.0×
Cadillac, MI 1 $1,462.00 $1,462.00 $1,462.00 1.0×
Canton-Massillon, OH 1 $1,352.00 $1,352.00 $1,352.00 1.0×
Cape Girardeau, MO-IL 1 $1,933.94 $1,933.94 $1,933.94 1.0×
Carroll, IA 1 $695.00 $695.00 $695.00 1.0×
Cedar Rapids, IA 1 $588.00 $588.00 $588.00 1.0×
Champaign-Urbana, IL 1 $856.89 $856.89 $856.89 1.0×
Charleston, WV 2 $492.00 $746.52 $1,001.04 2.0×
Charleston-Mattoon, IL 1 $659.80 $659.80 $659.80 1.0×
Charleston-North Charleston, SC 3 $1,636.00 $1,636.00 $1,636.00 1.0×
Charlotte-Concord-Gastonia, NC-SC 17 $213.30 $1,177.25 $4,362.10 20.5×
Cheyenne, WY 1 $1,968.97 $1,968.97 $1,968.97 1.0×
Chicago-Naperville-Elgin, IL-IN 27 $116.13 $804.70 $3,794.35 32.7×
Chillicothe, OH 1 $333.50 $333.50 $333.50 1.0×
Cincinnati, OH-KY-IN 3 $402.93 $1,040.71 $1,040.71 2.6×
Clarksburg, WV 1 $1,183.50 $1,183.50 $1,183.50 1.0×
Clarksville, TN-KY 2 $546.23 $1,285.58 $2,024.92 3.7×
Cleveland, OH 14 $123.90 $1,352.00 $1,569.00 12.7×
Clinton, IA 2 $442.65 $720.05 $997.44 2.3×
Coeur d'Alene, ID 2 $369.39 $906.20 $1,443.00 3.9×
Columbia, MO 1 $1,351.25 $1,351.25 $1,351.25 1.0×
Columbus, GA-AL 1 $1,077.54 $1,077.54 $1,077.54 1.0×
Columbus, NE 1 $2,235.22 $2,235.22 $2,235.22 1.0×
Columbus, OH 2 $1,400.35 $1,814.10 $2,227.85 1.6×
Corning, NY 1 $4,419.00 $4,419.00 $4,419.00 1.0×
Corpus Christi, TX 6 $587.30 $3,303.83 $3,303.83 5.6×
Cortland, NY 1 $610.40 $610.40 $610.40 1.0×
Crestview-Fort Walton Beach-Destin, FL 1 $924.26 $924.26 $924.26 1.0×
Crossville, TN 1 $539.83 $539.83 $539.83 1.0×
Cumberland, MD-WV 1 $789.00 $789.00 $789.00 1.0×
Dawson, MN single city 1 $588.50 $588.50 $588.50 1.0×
Deckerville, MI single city 1 $493.24 $493.24 $493.24 1.0×
Decorah, IA single city 1 $833.08 $833.08 $833.08 1.0×
DeKalb, MS single city 1 $614.79 $614.79 $614.79 1.0×
Denison, IA single city 1 $588.00 $588.00 $588.00 1.0×
Devils Lake, ND single city 1 $314.61 $314.61 $314.61 1.0×
Dillon, MT single city 1 $1,099.97 $1,099.97 $1,099.97 1.0×
Dillon, SC single city 1 $538.18 $538.18 $538.18 1.0×
Durham, NC single city 1 $838.37 $838.37 $838.37 1.0×
Dallas-Fort Worth-Arlington, TX 23 $503.76 $980.10 $2,975.05 5.9×
Danville, IL 1 $856.89 $856.89 $856.89 1.0×
Davenport-Moline-Rock Island, IA-IL 4 $889.16 $997.44 $997.44 1.1×
Dayton-Kettering-Beavercreek, OH 2 $778.58 $1,131.32 $1,484.06 1.9×
Decatur, IN 1 $1,254.19 $1,254.19 $1,254.19 1.0×
Defiance, OH 1 $343.80 $343.80 $343.80 1.0×
Deltona-Daytona Beach-Ormond Beach, FL 2 $1,107.20 $1,107.20 $1,107.20 1.0×
Denver-Aurora-Centennial, CO 12 $551.24 $1,784.45 $4,223.34 7.7×
Des Moines-West Des Moines, IA 5 $421.85 $535.20 $1,733.20 4.1×
Detroit-Warren-Dearborn, MI 10 $525.00 $750.90 $1,778.85 3.4×
Dickinson, ND 1 $982.17 $982.17 $982.17 1.0×
Dover, DE 1 $1,704.36 $1,704.36 $1,704.36 1.0×
DuBois, PA 1 $1,485.00 $1,485.00 $1,485.00 1.0×
Dubuque, IA 2 $421.85 $432.25 $442.65 1.0×
Duluth, MN-WI 2 $229.50 $543.15 $856.80 3.7×
Durant, OK 1 $772.86 $772.86 $772.86 1.0×
Durham-Chapel Hill, NC 1 $838.37 $838.37 $838.37 1.0×
Eagle River, WI single city 1 $1,023.75 $1,023.75 $1,023.75 1.0×
East Amery, WI single city 1 $380.62 $380.62 $380.62 1.0×
Elizabethtown, NC single city 1 $1,813.10 $1,813.10 $1,813.10 1.0×
Elizabethtown, NY single city 1 $1,507.04 $1,507.04 $1,507.04 1.0×
Elkader, IA single city 1 $421.85 $421.85 $421.85 1.0×
Emmetsburg, IA single city 1 $376.50 $376.50 $376.50 1.0×
Eau Claire, WI 2 $1,023.75 $1,151.30 $1,278.84 1.2×
El Paso, TX 2 $3,637.00 $3,637.00 $3,637.00 1.0×
Erie, PA 1 $897.00 $897.00 $897.00 1.0×
Evansville, IN 1 $496.65 $496.65 $496.65 1.0×
Franklin, NC single city 1 $4,237.88 $4,237.88 $4,237.88 1.0×
Friendship, WI single city 1 $705.10 $705.10 $705.10 1.0×
Fairmont, WV 1 $1,559.25 $1,559.25 $1,559.25 1.0×
Fargo, ND-MN 1 $1,226.48 $1,226.48 $1,226.48 1.0×
Fayetteville, NC 3 $1,813.10 $1,813.10 $1,813.10 1.0×
Fayetteville-Springdale-Rogers, AR 1 $726.87 $726.87 $726.87 1.0×
Fergus Falls, MN 1 $474.50 $474.50 $474.50 1.0×
Flagstaff, AZ 1 $1,865.16 $1,865.16 $1,865.16 1.0×
Flint, MI 1 $750.90 $750.90 $750.90 1.0×
Florence, SC 1 $538.18 $538.18 $538.18 1.0×
Fond du Lac, WI 1 $564.66 $564.66 $564.66 1.0×
Fort Smith, AR-OK 2 $1,837.26 $1,837.26 $1,837.26 1.0×
Fort Wayne, IN 8 $974.30 $1,231.22 $1,653.57 1.7×
Freeport, IL 1 $1,000.00 $1,000.00 $1,000.00 1.0×
Fresno, CA 1 $365.68 $365.68 $365.68 1.0×
Garrison, ND single city 1 $357.64 $357.64 $357.64 1.0×
Gassaway, WV single city 1 $789.00 $789.00 $789.00 1.0×
Gaylord, MI single city 1 $1,448.40 $1,448.40 $1,448.40 1.0×
Grayling, MI single city 1 $1,462.00 $1,462.00 $1,462.00 1.0×
Greenfield, IA single city 1 $435.00 $435.00 $435.00 1.0×
Greenfield, OH single city 1 $333.50 $333.50 $333.50 1.0×
Gainesville, FL 3 $1,171.54 $2,169.00 $2,169.00 1.9×
Gloversville, NY 1 $416.00 $416.00 $416.00 1.0×
Grand Forks, ND-MN 3 $314.61 $583.00 $1,177.00 3.7×
Grand Island, NE 2 $310.31 $519.16 $728.00 2.3×
Grand Rapids, MN 1 $229.50 $229.50 $229.50 1.0×
Grand Rapids-Wyoming-Kentwood, MI 3 $342.00 $525.20 $1,613.40 4.7×
Green Bay, WI 1 $687.56 $687.56 $687.56 1.0×
Greensburg, IN 1 $1,122.00 $1,122.00 $1,122.00 1.0×
Greenville, NC 1 $2,828.33 $2,828.33 $2,828.33 1.0×
Greenwood, SC 2 $1,247.40 $1,351.35 $1,455.30 1.2×
Hampton, IA single city 1 $591.30 $591.30 $591.30 1.0×
Harbor Beach, MI single city 1 $595.50 $595.50 $595.50 1.0×
Harwarden, IA single city 1 $530.15 $530.15 $530.15 1.0×
Highlands, NC single city 1 $4,237.88 $4,237.88 $4,237.88 1.0×
Horse Cave, KY single city 1 $584.19 $584.19 $584.19 1.0×
Hagerstown-Martinsburg, MD-WV 1 $492.00 $492.00 $492.00 1.0×
Hailey, ID 1 $607.13 $607.13 $607.13 1.0×
Harrisburg-Carlisle, PA 2 $262.52 $269.45 $276.37 1.1×
Hastings, NE 1 $479.70 $479.70 $479.70 1.0×
Hattiesburg, MS 1 $435.78 $435.78 $435.78 1.0×
Helena, MT 1 $1,621.00 $1,621.00 $1,621.00 1.0×
Henderson, KY 1 $451.50 $451.50 $451.50 1.0×
Hilo-Kailua, HI 1 $956.20 $956.20 $956.20 1.0×
Hood River, OR 1 $2,150.97 $2,150.97 $2,150.97 1.0×
Houghton, MI 1 $1,023.75 $1,023.75 $1,023.75 1.0×
Houma-Bayou Cane-Thibodaux, LA 1 $418.77 $418.77 $418.77 1.0×
Houston-Pasadena-The Woodlands, TX 10 $351.44 $1,859.97 $3,119.00 8.9×
Huntingdon, PA 1 $1,485.00 $1,485.00 $1,485.00 1.0×
Huntington, IN 1 $1,135.24 $1,135.24 $1,135.24 1.0×
Huntington-Ashland, WV-KY-OH 2 $485.10 $1,727.73 $2,970.35 6.1×
Huntsville, AL 3 $895.20 $3,619.54 $3,619.54 4.0×
International Falls, MN single city 1 $738.78 $738.78 $738.78 1.0×
Iron River, MI single city 1 $1,023.75 $1,023.75 $1,023.75 1.0×
Ironwood, MI single city 1 $1,023.75 $1,023.75 $1,023.75 1.0×
Indianapolis-Carmel-Greenwood, IN 6 $974.39 $1,105.21 $1,105.21 1.1×
Iowa City, IA 1 $1,182.68 $1,182.68 $1,182.68 1.0×
Joe, FL single city 1 $924.26 $924.26 $924.26 1.0×
Jackson, MS 2 $594.00 $594.00 $594.00 1.0×
Jacksonville, FL 2 $1,171.54 $1,393.77 $1,616.00 1.4×
Jamestown-Dunkirk, NY 1 $1,807.50 $1,807.50 $1,807.50 1.0×
Janesville-Beloit, WI 2 $443.11 $1,228.51 $2,013.91 4.5×
Jasper, IN 1 $622.35 $622.35 $622.35 1.0×
Johnstown, PA 1 $1,056.89 $1,056.89 $1,056.89 1.0×
Joplin, MO-KS 2 $147.84 $147.84 $147.84 1.0×
Knox, IN single city 1 $1,441.11 $1,441.11 $1,441.11 1.0×
Kotzebue, AK single city 1 $1,835.24 $1,835.24 $1,835.24 1.0×
Kahului-Wailuku, HI 1 $863.10 $863.10 $863.10 1.0×
Kansas City, MO-KS 7 $1,196.21 $1,437.80 $3,330.18 2.8×
Kapaa, HI 1 $1,253.30 $1,253.30 $1,253.30 1.0×
Kearney, NE 2 $320.82 $621.41 $922.00 2.9×
Kendallville, IN 1 $1,135.24 $1,135.24 $1,135.24 1.0×
Kennewick-Richland, WA 1 $265.10 $265.10 $265.10 1.0×
Key West-Key Largo, FL 2 $963.30 $963.30 $963.30 1.0×
Kiryas Joel-Poughkeepsie-Newburgh, NY 1 $2,143.00 $2,143.00 $2,143.00 1.0×
Klamath Falls, OR 1 $564.44 $564.44 $564.44 1.0×
Knoxville, TN 5 $506.09 $556.70 $556.70 1.1×
Ladysmith, WI single city 1 $1,278.84 $1,278.84 $1,278.84 1.0×
LaGrange, IN single city 1 $1,135.24 $1,135.24 $1,135.24 1.0×
Linton, ND single city 1 $700.00 $700.00 $700.00 1.0×
Little Falls, MN single city 1 $439.06 $439.06 $439.06 1.0×
Lousiana, MO single city 1 $1,043.81 $1,043.81 $1,043.81 1.0×
La Crosse-Onalaska, WI-MN 1 $692.58 $692.58 $692.58 1.0×
Lafayette, LA 1 $729.73 $729.73 $729.73 1.0×
Lake Havasu City-Kingman, AZ 1 $346.50 $346.50 $346.50 1.0×
Lakeland-Winter Haven, FL 2 $1,281.71 $1,281.71 $1,281.71 1.0×
Lansing-East Lansing, MI 5 $319.73 $342.00 $750.90 2.3×
Las Cruces, NM 1 $1,871.10 $1,871.10 $1,871.10 1.0×
Las Vegas-Henderson-North Las Vegas, NV 3 $605.64 $1,804.00 $4,157.00 6.9×
Lawrence, KS 1 $1,071.11 $1,071.11 $1,071.11 1.0×
Lebanon-Claremont, NH-VT 1 $654.72 $654.72 $654.72 1.0×
Lewiston-Auburn, ME 1 $1,275.28 $1,275.28 $1,275.28 1.0×
Lexington Park, MD 1 $703.63 $703.63 $703.63 1.0×
Lexington, NE 1 $824.00 $824.00 $824.00 1.0×
Lexington-Fayette, KY 1 $805.21 $805.21 $805.21 1.0×
Lima, OH 1 $705.71 $705.71 $705.71 1.0×
Lincoln, NE 2 $241.93 $252.45 $262.97 1.1×
Little Rock-North Little Rock-Conway, AR 2 $726.87 $933.68 $1,140.48 1.6×
Logansport, IN 1 $1,135.24 $1,135.24 $1,135.24 1.0×
Los Angeles-Long Beach-Anaheim, CA 13 $534.80 $968.03 $2,518.51 4.7×
Lubbock, TX 2 $246.54 $2,144.42 $4,042.30 16.4×
Machias, ME single city 1 $299.00 $299.00 $299.00 1.0×
Malone, NY single city 1 $1,507.04 $1,507.04 $1,507.04 1.0×
Manistee, MI single city 1 $1,434.80 $1,434.80 $1,434.80 1.0×
Manning, SC single city 1 $538.18 $538.18 $538.18 1.0×
McCall, ID single city 1 $607.13 $607.13 $607.13 1.0×
Medford, WI single city 1 $1,023.75 $1,023.75 $1,023.75 1.0×
Merrill, WI single city 1 $1,023.75 $1,023.75 $1,023.75 1.0×
Minocqua, WI single city 1 $1,278.84 $1,278.84 $1,278.84 1.0×
Moab, UT single city 1 $1,682.26 $1,682.26 $1,682.26 1.0×
Montpelier, OH single city 1 $771.18 $771.18 $771.18 1.0×
Mora, MN single city 1 $873.18 $873.18 $873.18 1.0×
Morehead, KY single city 1 $1,964.25 $1,964.25 $1,964.25 1.0×
Morris, MN single city 1 $1,836.95 $1,836.95 $1,836.95 1.0×
Macon-Bibb County, GA 2 $2,766.55 $2,766.55 $2,766.55 1.0×
Madison, WI 1 $1,023.75 $1,023.75 $1,023.75 1.0×
Madisonville, KY 1 $954.92 $954.92 $954.92 1.0×
Manchester-Nashua, NH 1 $1,308.84 $1,308.84 $1,308.84 1.0×
Mansfield, OH 1 $2,227.85 $2,227.85 $2,227.85 1.0×
Marietta, OH 1 $481.14 $481.14 $481.14 1.0×
Marion, NC 1 $4,237.88 $4,237.88 $4,237.88 1.0×
Marshall, MO 1 $397.78 $397.78 $397.78 1.0×
Mason City, IA 1 $442.65 $442.65 $442.65 1.0×
Massena-Ogdensburg, NY 3 $779.44 $779.44 $779.44 1.0×
McAllen-Edinburg-Mission, TX 1 $617.05 $617.05 $617.05 1.0×
McPherson, KS 1 $577.50 $577.50 $577.50 1.0×
Memphis, TN-MS-AR 1 $549.14 $549.14 $549.14 1.0×
Merced, CA 2 $254.41 $1,377.21 $2,500.00 9.8×
Meridian, MS 2 $276.21 $436.59 $596.97 2.2×
Miami-Fort Lauderdale-West Palm Beach, FL 13 $963.30 $1,559.25 $3,670.47 3.8×
Michigan City-La Porte, IN 1 $1,761.35 $1,761.35 $1,761.35 1.0×
Milledgeville, GA 1 $2,244.33 $2,244.33 $2,244.33 1.0×
Milwaukee-Waukesha, WI 2 $235.12 $348.73 $462.33 2.0×
Minneapolis-St. Paul-Bloomington, MN-WI 17 $125.37 $202.51 $2,217.60 17.7×
Modesto, CA 1 $365.68 $365.68 $365.68 1.0×
Morgantown, WV 2 $492.00 $839.44 $1,186.88 2.4×
Morristown, TN 1 $506.09 $506.09 $506.09 1.0×
Moses Lake, WA 1 $525.00 $525.00 $525.00 1.0×
Mount Pleasant, MI 1 $750.90 $750.90 $750.90 1.0×
Mount Vernon-Anacortes, WA 1 $360.00 $360.00 $360.00 1.0×
Muskegon-Norton Shores, MI 1 $525.20 $525.20 $525.20 1.0×
Myrtle Beach-Conway-North Myrtle Beach, SC 3 $538.18 $538.18 $538.18 1.0×
Nebraska City, NE single city 1 $436.53 $436.53 $436.53 1.0×
Neillsville, WI single city 1 $1,278.84 $1,278.84 $1,278.84 1.0×
New Hampton, IA single city 1 $421.85 $421.85 $421.85 1.0×
New London, WI single city 1 $564.66 $564.66 $564.66 1.0×
New Martinsville, WV single city 1 $1,183.50 $1,183.50 $1,183.50 1.0×
Nome, AK single city 1 $642.00 $642.00 $642.00 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 3 $512.83 $954.93 $1,901.98 3.7×
New Castle, IN 1 $739.06 $739.06 $739.06 1.0×
New Orleans-Metairie, LA 9 $207.90 $237.60 $1,281.71 6.2×
New Philadelphia-Dover, OH 1 $1,352.00 $1,352.00 $1,352.00 1.0×
New Ulm, MN 1 $893.18 $893.18 $893.18 1.0×
New York-Newark-Jersey City, NY-NJ 27 $118.82 $821.20 $2,143.00 18.0×
Newport, OR 2 $632.00 $632.00 $632.00 1.0×
Norfolk, NE 1 $2,208.93 $2,208.93 $2,208.93 1.0×
Oelwein, IA single city 1 $421.85 $421.85 $421.85 1.0×
Okeene, OK single city 1 $776.00 $776.00 $776.00 1.0×
Olivia, MN single city 1 $524.60 $524.60 $524.60 1.0×
Olney, IL single city 1 $856.89 $856.89 $856.89 1.0×
Ontario, CA single city 1 $968.03 $968.03 $968.03 1.0×
Orange City, IA single city 1 $514.40 $514.40 $514.40 1.0×
Orofino, ID single city 1 $1,668.75 $1,668.75 $1,668.75 1.0×
Ortonville, MN single city 1 $501.50 $501.50 $501.50 1.0×
Ocean Pines, MD 1 $1,297.00 $1,297.00 $1,297.00 1.0×
Ogden, UT 3 $1,193.05 $1,193.05 $1,431.17 1.2×
Oklahoma City, OK 1 $2,603.09 $2,603.09 $2,603.09 1.0×
Omaha, NE-IA 9 $650.00 $1,104.47 $1,288.54 2.0×
Oneonta, NY 1 $400.41 $400.41 $400.41 1.0×
Orlando-Kissimmee-Sanford, FL 3 $1,171.54 $1,171.54 $1,663.00 1.4×
Oshkosh-Neenah, WI 3 $300.25 $564.66 $564.66 1.9×
Owosso, MI 1 $548.00 $548.00 $548.00 1.0×
Oxnard-Thousand Oaks-Ventura, CA 1 $2,902.50 $2,902.50 $2,902.50 1.0×
Pagosa Springs, CO single city 1 $1,072.14 $1,072.14 $1,072.14 1.0×
Park Falls, WI single city 1 $1,278.84 $1,278.84 $1,278.84 1.0×
Parsons, KS single city 1 $770.18 $770.18 $770.18 1.0×
Perryton, TX single city 1 $563.00 $563.00 $563.00 1.0×
Petersburg, WV single city 1 $1,262.40 $1,262.40 $1,262.40 1.0×
Phillipsburg, KS single city 1 $862.75 $862.75 $862.75 1.0×
Pinckneyville, IL single city 1 $1,816.75 $1,816.75 $1,816.75 1.0×
Plainville, KS single city 1 $468.75 $468.75 $468.75 1.0×
Polson, MT single city 1 $376.00 $376.00 $376.00 1.0×
Poteau, OK single city 1 $1,434.12 $1,434.12 $1,434.12 1.0×
Prairie Du Chien, WI single city 1 $965.00 $965.00 $965.00 1.0×
Panama City-Panama City Beach, FL 2 $924.26 $1,108.13 $1,292.00 1.4×
Parkersburg-Vienna, WV 1 $492.00 $492.00 $492.00 1.0×
Pella, IA 1 $842.00 $842.00 $842.00 1.0×
Pensacola-Ferry Pass-Brent, FL 2 $367.78 $646.02 $924.26 2.5×
Peoria, IL 4 $856.89 $856.89 $856.89 1.0×
Peru, IN 1 $2,062.01 $2,062.01 $2,062.01 1.0×
Petoskey, MI 1 $750.90 $750.90 $750.90 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 7 $895.50 $895.50 $3,540.87 4.0×
Pittsburg, KS 1 $2,514.14 $2,514.14 $2,514.14 1.0×
Pittsburgh, PA 4 $289.19 $1,040.25 $1,195.80 4.1×
Plainview, TX 1 $246.54 $246.54 $246.54 1.0×
Platteville, WI 2 $705.75 $735.27 $764.78 1.1×
Plattsburgh, NY 1 $1,507.04 $1,507.04 $1,507.04 1.0×
Poplar Bluff, MO 1 $815.98 $815.98 $815.98 1.0×
Port St. Lucie, FL 1 $1,392.44 $1,392.44 $1,392.44 1.0×
Port Townsend, WA 2 $436.00 $436.00 $436.00 1.0×
Portland-South Portland, ME 1 $525.60 $525.60 $525.60 1.0×
Portland-Vancouver-Hillsboro, OR-WA 6 $615.46 $1,429.97 $2,130.33 3.5×
Portsmouth, OH 1 $485.10 $485.10 $485.10 1.0×
Prescott Valley-Prescott, AZ 1 $778.36 $778.36 $778.36 1.0×
Provo-Orem-Lehi, UT 1 $1,911.66 $1,911.66 $1,911.66 1.0×
Pullman, WA 1 $463.25 $463.25 $463.25 1.0×
Rhinelander, WI single city 1 $1,023.75 $1,023.75 $1,023.75 1.0×
Richmond, CA single city 1 $365.68 $365.68 $365.68 1.0×
Ripley, WV single city 1 $737.50 $737.50 $737.50 1.0×
Rochester, IN single city 1 $945.75 $945.75 $945.75 1.0×
Roseau, MN single city 1 $1,143.45 $1,143.45 $1,143.45 1.0×
Ruleville, MS single city 1 $250.00 $250.00 $250.00 1.0×
Rushville, IN single city 1 $724.44 $724.44 $724.44 1.0×
Russellville, KY single city 1 $584.19 $584.19 $584.19 1.0×
Raleigh-Cary, NC 4 $744.88 $744.88 $838.37 1.1×
Rapid City, SD 3 $768.80 $768.80 $2,233.42 2.9×
Rice Lake, WI 1 $1,278.84 $1,278.84 $1,278.84 1.0×
Richmond, VA 6 $327.60 $1,913.30 $3,499.00 10.7×
Richmond-Berea, KY 1 $614.84 $614.84 $614.84 1.0×
Rifle, CO 1 $1,299.38 $1,299.38 $1,299.38 1.0×
Riverside-San Bernardino-Ontario, CA 9 $321.33 $968.03 $3,040.28 9.5×
Roanoke Rapids, NC 1 $2,828.33 $2,828.33 $2,828.33 1.0×
Rochester, NY 7 $153.88 $1,031.86 $1,269.98 8.3×
Rockford, IL 1 $2,391.34 $2,391.34 $2,391.34 1.0×
Rolla, MO 1 $117.01 $117.01 $117.01 1.0×
Roswell, NM 1 $652.94 $652.94 $652.94 1.0×
Russellville, AL 1 $3,619.54 $3,619.54 $3,619.54 1.0×
Saint Ignace, MI single city 1 $855.00 $855.00 $855.00 1.0×
Satanta, KS single city 1 $243.00 $243.00 $243.00 1.0×
Scobey, MT single city 1 $2,486.89 $2,486.89 $2,486.89 1.0×
Seneca, KS single city 1 $405.00 $405.00 $405.00 1.0×
Shattuck, OK single city 1 $1,885.16 $1,885.16 $1,885.16 1.0×
Shelby, MT single city 1 $965.25 $965.25 $965.25 1.0×
Sidney, MT single city 1 $426.63 $426.63 $426.63 1.0×
Sioux Center, IA single city 1 $588.19 $588.19 $588.19 1.0×
Smith Center, KS single city 1 $907.67 $907.67 $907.67 1.0×
Sparta, NC single city 1 $3,324.58 $3,324.58 $3,324.58 1.0×
Spruce Pine, NC single city 1 $4,237.88 $4,237.88 $4,237.88 1.0×
St. Paul, MN single city 1 $977.19 $977.19 $977.19 1.0×
Statesville, NC single city 1 $553.00 $553.00 $553.00 1.0×
Summersville, WV single city 1 $789.00 $789.00 $789.00 1.0×
Sweetwater, TN single city 1 $842.00 $842.00 $842.00 1.0×
Sacramento-Roseville-Folsom, CA 4 $365.68 $365.68 $684.29 1.9×
Salem, OR 2 $336.11 $336.11 $336.11 1.0×
Salt Lake City-Murray, UT 3 $1,209.00 $2,078.52 $2,078.52 1.7×
San Antonio-New Braunfels, TX 6 $519.75 $3,171.83 $3,171.83 6.1×
San Diego-Chula Vista-Carlsbad, CA 6 $556.87 $968.03 $1,881.58 3.4×
San Francisco-Oakland-Fremont, CA 12 $365.68 $365.68 $3,418.04 9.3×
San Jose-Sunnyvale-Santa Clara, CA 5 $365.68 $862.50 $2,202.40 6.0×
Santa Cruz-Watsonville, CA 1 $2,138.40 $2,138.40 $2,138.40 1.0×
Santa Maria-Santa Barbara, CA 1 $2,542.32 $2,542.32 $2,542.32 1.0×
Santa Rosa-Petaluma, CA 1 $365.68 $365.68 $365.68 1.0×
Savannah, GA 1 $3,601.00 $3,601.00 $3,601.00 1.0×
Seaford, DE 1 $1,704.36 $1,704.36 $1,704.36 1.0×
Seattle-Tacoma-Bellevue, WA 8 $277.95 $757.36 $2,122.75 7.6×
Sebastian-Vero Beach-West Vero Corridor, FL 1 $1,392.44 $1,392.44 $1,392.44 1.0×
Sevierville, TN 1 $489.22 $489.22 $489.22 1.0×
Shawano, WI 1 $564.66 $564.66 $564.66 1.0×
Shelby-Kings Mountain, NC 1 $1,177.25 $1,177.25 $1,177.25 1.0×
Shelbyville, TN 1 $512.83 $512.83 $512.83 1.0×
Shreveport-Bossier City, LA 1 $523.91 $523.91 $523.91 1.0×
Sioux Falls, SD-MN 1 $1,225.67 $1,225.67 $1,225.67 1.0×
Slidell-Mandeville-Covington, LA 1 $207.90 $207.90 $207.90 1.0×
South Bend-Mishawaka, IN-MI 1 $1,778.85 $1,778.85 $1,778.85 1.0×
Spearfish, SD 2 $768.80 $768.80 $768.80 1.0×
Springfield, IL 1 $1,922.00 $1,922.00 $1,922.00 1.0×
St. Joseph, MO-KS 2 $1,105.00 $1,105.00 $1,105.00 1.0×
St. Louis, MO-IL 2 $1,643.86 $2,166.03 $2,688.19 1.6×
St. Marys, PA 1 $1,485.00 $1,485.00 $1,485.00 1.0×
Stephenville, TX 1 $980.10 $980.10 $980.10 1.0×
Stevens Point-Plover, WI 3 $1,023.75 $1,023.75 $1,278.84 1.2×
Stillwater, OK 1 $1,148.80 $1,148.80 $1,148.80 1.0×
Stockton-Lodi, CA 1 $365.68 $365.68 $365.68 1.0×
Syracuse, NY 1 $1,038.89 $1,038.89 $1,038.89 1.0×
Tomahawk, WI single city 1 $1,023.75 $1,023.75 $1,023.75 1.0×
Turtle Lake, ND single city 1 $373.42 $373.42 $373.42 1.0×
Two Harbors, MN single city 1 $1,296.22 $1,296.22 $1,296.22 1.0×
Tampa-St. Petersburg-Clearwater, FL 10 $599.38 $1,281.71 $1,281.71 2.1×
Terre Haute, IN 4 $1,436.74 $1,707.42 $1,833.23 1.3×
Texarkana, TX-AR 1 $2,062.01 $2,062.01 $2,062.01 1.0×
Toledo, OH 1 $312.00 $312.00 $312.00 1.0×
Topeka, KS 1 $751.41 $751.41 $751.41 1.0×
Traverse City, MI 2 $1,247.25 $1,347.83 $1,448.40 1.2×
Trenton-Princeton, NJ 2 $2,561.00 $2,561.00 $2,561.00 1.0×
Tucson, AZ 6 $211.30 $281.74 $328.41 1.6×
Tullahoma-Manchester, TN 1 $512.83 $512.83 $512.83 1.0×
Tulsa, OK 1 $463.32 $463.32 $463.32 1.0×
Twin Falls, ID 1 $607.13 $607.13 $607.13 1.0×
Utah Hiawatha, KS single city 1 $1,333.00 $1,333.00 $1,333.00 1.0×
Urban Honolulu, HI 3 $1,253.30 $1,253.30 $1,396.20 1.1×
Utica-Rome, NY 2 $499.80 $557.12 $614.43 1.2×
Vallejo, CA 3 $365.68 $365.68 $887.14 2.4×
Vermillion, SD 1 $691.81 $691.81 $691.81 1.0×
Vineland, NJ 2 $895.50 $895.50 $895.50 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 2 $695.17 $1,194.22 $1,693.26 2.4×
Visalia, CA 3 $2,168.00 $2,168.00 $2,168.00 1.0×
Wadena, MN single city 1 $850.35 $850.35 $850.35 1.0×
Watford City, ND single city 1 $493.35 $493.35 $493.35 1.0×
Waukon, IA single city 1 $774.57 $774.57 $774.57 1.0×
Waupaca, WI single city 1 $564.66 $564.66 $564.66 1.0×
Waverly, OH single city 1 $333.50 $333.50 $333.50 1.0×
Waynesboro, MS single city 1 $1,600.00 $1,600.00 $1,600.00 1.0×
Wedowee, AL single city 1 $1,450.79 $1,450.79 $1,450.79 1.0×
Wellsboro, PA single city 1 $885.00 $885.00 $885.00 1.0×
West Union, IA single city 1 $824.47 $824.47 $824.47 1.0×
Weston, WV single city 1 $1,485.00 $1,485.00 $1,485.00 1.0×
Whitehall, WI single city 1 $941.49 $941.49 $941.49 1.0×
Whiteville, NC single city 1 $1,411.12 $1,411.12 $1,411.12 1.0×
Wild Rose, WI single city 1 $564.66 $564.66 $564.66 1.0×
Winner, SD single city 1 $474.72 $474.72 $474.72 1.0×
Winnsboro, LA single city 1 $297.00 $297.00 $297.00 1.0×
Woodruff, WI single city 1 $1,023.75 $1,023.75 $1,023.75 1.0×
Wabash, IN 1 $1,135.24 $1,135.24 $1,135.24 1.0×
Warner Robins, GA 3 $1,188.00 $1,188.00 $2,244.33 1.9×
Warren, PA 1 $1,960.00 $1,960.00 $1,960.00 1.0×
Warsaw, IN 1 $1,015.94 $1,015.94 $1,015.94 1.0×
Washington Court House, OH 1 $667.00 $667.00 $667.00 1.0×
Washington, NC 1 $2,828.33 $2,828.33 $2,828.33 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 12 $702.05 $831.61 $2,064.15 2.9×
Waterloo-Cedar Falls, IA 3 $442.65 $442.65 $562.64 1.3×
Wausau, WI 2 $1,023.75 $1,151.30 $1,278.84 1.2×
Weirton-Steubenville, WV-OH 1 $1,183.50 $1,183.50 $1,183.50 1.0×
Wenatchee-East Wenatchee, WA 1 $1,079.54 $1,079.54 $1,079.54 1.0×
Wheeling, WV-OH 3 $492.00 $492.00 $789.00 1.6×
Whitewater-Elkhorn, WI 1 $2,013.47 $2,013.47 $2,013.47 1.0×
Wichita, KS 2 $3,063.75 $3,063.75 $3,063.75 1.0×
Williamsport, PA 1 $846.00 $846.00 $846.00 1.0×
Winston-Salem, NC 2 $1,120.00 $1,151.00 $1,182.00 1.1×
Wisconsin Rapids-Marshfield, WI 2 $1,023.75 $1,151.30 $1,278.84 1.2×
Worthington, MN 1 $723.40 $723.40 $723.40 1.0×
Yreka, CA single city 1 $1,628.00 $1,628.00 $1,628.00 1.0×
Yuma, AZ 1 $540.54 $540.54 $540.54 1.0×

Common questions

What is CPT code 90381?

CPT 90381 is the billing code for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg). 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.

Can my child get this vaccine free?

Yes, if your child is 18 or younger and uninsured, underinsured, eligible for Medicaid, or American Indian or Alaska Native: the Vaccines for Children program supplies the vaccine at no cost, and a provider may charge only an administration fee, which is waived if you cannot pay.

Does my baby need this if I had the RSV vaccine in pregnancy?

Usually not. Most babies need either the maternal RSV vaccine given in pregnancy or nirsevimab, not both.

What does a dose of the RSV antibody shot (100 mg dose) cost a clinic or pharmacy?

$595.06 (Beyfortus) per dose is the manufacturer's private-sector price in the CDC vaccine price list: what a clinic or pharmacy pays for the vaccine itself. The median hospital cash price, $968.03 across 934 hospitals, is 1.6× that. Giving the shot is billed separately (CPT 90471).

Other childhood vaccine prices

Median hospital cash price, one per hospital.