Vaccines CPT 90381 Iowa Outpatient

RSV antibody shot (100 mg dose) cost in Iowa

In Iowa, 44 hospitals publish a cash price for RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg): from $215.92 to $1,733.20, with a median of $583.60. The lowest price is at Cass County Memorial Hospital (Atlantic). The highest price is 8.0× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code 90381. Prices for both sides of the body and inpatient prices are not mixed in. Collected Oct 3, 2026. See them on a map

Lowest$215.92Cass County Memorial Hospital
Median$583.60half of hospitals charge less
Highest$1,733.20in Iowa
Lowest saves$367.68vs the median

Hospitals in Iowa, cheapest first

HospitalCash priceList priceFile date
Cass County Memorial Hospital lowest Atlantic · Atlantic, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $215.92 $308.46 Jun 1, 2026
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Clarinda Regional Health Center Clarinda · Clarinda, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $371.70 $630.00 Jul 13, 2026
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Palo Alto County Hospital Emmetsburg · Emmetsburg, IA Respiratory syncytial virus, monoclonal antibody, seasonal d $376.50 $502.00 Mar 31, 2026
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Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Vaccine Respiratory Syncytial Virus Monoclonal Antibody Seasonal Dose 1 Ml Im $421.85 $649.00 Mar 31, 2026
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MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Vaccine Respiratory Syncytial Virus Monoclonal Antibody Seasonal Dose 1 Ml Im $421.85 $649.00 Mar 31, 2026
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MercyOne Elkader Medical Center Elkader · Elkader, IA HC Vaccine Respiratory Syncytial Virus Monoclonal Antibody Seasonal Dose 1 Ml Im $421.85 $649.00 Mar 31, 2026
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MercyOne Newton Medical Center Newton · Des Moines-West Des Moines, IA HC Vaccine Respiratory Syncytial Virus Monoclonal Antibody Seasonal Dose 1 Ml Im $421.85 $649.00 Mar 31, 2026
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MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Vaccine Respiratory Syncytial Virus Monoclonal Antibody Seasonal Dose 1 Ml Im $421.85 $649.00 Mar 31, 2026
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Adair County Memorial Hospital Greenfield · Greenfield, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $435.00 $580.00 Sep 2, 2026
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Floyd County Memorial Hospital Commission Charles City · Charles City, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $436.40 $1,091.00 Sep 30, 2026
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MercyOne Clinton Medical Center Clinton · Clinton, IA HC Vaccine Respiratory Syncytial Virus Monoclonal Antibody Seasonal Dose 1 Ml Im $442.65 $681.00 Mar 31, 2026
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MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Vaccine Respiratory Syncytial Virus Monoclonal Antibody Seasonal Dose 1 Ml Im $442.65 $681.00 Mar 31, 2026
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MercyOne Dubuque Medical Center Dubuque · Dubuque, IA HC Vaccine Respiratory Syncytial Virus Monoclonal Antibody Seasonal Dose 1 Ml Im $442.65 $681.00 Mar 31, 2026
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MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Vaccine Respiratory Syncytial Virus Monoclonal Antibody Seasonal Dose 1 Ml Im $442.65 $681.00 Mar 31, 2026
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MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Vaccine Respiratory Syncytial Virus Monoclonal Antibody Seasonal Dose 1 Ml Im $442.65 $681.00 Mar 31, 2026
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Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Vaccine Respiratory Syncytial Virus Monoclonal Antibody Seasonal Dose 1 Ml Im $442.65 $681.00 Mar 31, 2026
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Boone County Hospital Boone · Ames, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $495.20 $619.00 Jul 27, 2026
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Jefferson County Hospital Fairfield · Fairfield, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $500.52 $834.20 Aug 20, 2026
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Orange City Municipal Hospital Orange City · Orange City, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $514.40 $643.00 Sep 23, 2026
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Hawarden Regional Healthcare Harwarden · Harwarden, IA CLN BEYFORTUS 100 MG $530.15 $623.70 Apr 24, 2026
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Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $535.20 $669.00 Sep 23, 2026
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Story County Hospital Nevada · Ames, IA PR RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE $579.20 $724.00 Mar 30, 2026
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Rawford County Memorial Hospital Denison · Denison, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $588.00 $735.00 Jul 27, 2026
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Sioux Center Health Sioux Center · Sioux Center, IA $588.19 $606.00 Apr 1, 2026
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Franklin General Hospital Hampton · Hampton, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $591.30 $657.00 Jul 16, 2026
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MercyOne Centerville Medical Center Centerville · Centerville, IA HC Vaccine Respiratory Syncytial Virus Monoclonal Antibody Seasonal Dose 1 Ml Im $649.00 $649.00 Mar 31, 2026
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MercyOne West Des Moines Medical Center West Des Moines · Des Moines-West Des Moines, IA HC Vaccine Respiratory Syncytial Virus Monoclonal Antibody Seasonal Dose 1 Ml Im $681.00 $681.00 Mar 31, 2026
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St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $695.00 $695.00 Jul 14, 2026
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Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $774.57 $1,358.89 May 11, 2026
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Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA PR RSV MONOCLONAL ABY,SEASONAL,1ML IM $824.47 $1,388.00 Jun 27, 2026
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WinnMed Decorah · Decorah, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $833.08 $1,190.12 Jul 17, 2026
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Knoxville Hospital & Clinics Knoxville · Pella, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $842.00 $1,403.33 Jan 24, 2026
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MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL nirsevimab (cvx 307) alip preservative-free 100 mg/mL So $889.16 $1,481.94 Mar 31, 2026
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MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL nirsevimab (cvx 307) alip preservative-free 100 mg/mL So $997.44 $1,662.40 Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA nirsevimab (cvx 307) alip preservative-free 100 mg/mL So $997.44 $1,662.40 Mar 31, 2026
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Cherokee Regional Medical Center Cherokee · Cherokee, IA HC RSV MONOC ANTB SEASN 1 ML IM $1,029.60 $1,144.00 Mar 31, 2026
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Belmond Community Hospital Belmond · Belmond, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $1,071.11 $1,785.19 Apr 22, 2026
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Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $1,071.11 $1,785.19 Jun 11, 2026
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CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE $1,104.47 $2,629.67 Feb 28, 2026
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Washington County Hospital Washington · Iowa City, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $1,182.68 $1,576.91 Sep 8, 2026
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Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE $1,262.25 $2,629.67 Feb 28, 2026
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Audubon County Memorial Hospital Audubon · Audubon, IA Respiratory syncytial virus antibody, 1.0 mL dosage for injection into muscle $1,265.30 $1,265.30 Sep 14, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE $1,288.54 $2,629.67 Feb 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA NIRSEVIMAB-ALIP 100 MG/ML IM SOSY $1,733.20 $2,166.50 Jan 28, 2026
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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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Des Moines-West Des Moines, IA 5 $421.85 $535.20
Ames, IA 2 $495.20 $537.20
Clinton, IA 2 $442.65 $720.04
Davenport-Moline-Rock Island, IA-IL 2 $889.16 $943.30
Dubuque, IA 2 $421.85 $432.25
Omaha, NE-IA 2 $1,104.47 $1,196.50
Waterloo-Cedar Falls, IA 2 $442.65 $442.65
Atlantic, IA 1 $215.92 $215.92
Audubon, IA 1 $1,265.30 $1,265.30
Belmond, IA 1 $1,071.11 $1,071.11
Centerville, IA 1 $649.00 $649.00
Charles City, IA 1 $436.40 $436.40
Cherokee, IA 1 $1,029.60 $1,029.60
Clarinda, IA 1 $371.70 $371.70
Clarion, IA 1 $1,071.11 $1,071.11
Corning, IA 1 $1,262.25 $1,262.25
Carroll, IA 1 $695.00 $695.00
Decorah, IA 1 $833.08 $833.08
Denison, IA 1 $588.00 $588.00
Elkader, IA 1 $421.85 $421.85
Emmetsburg, IA 1 $376.50 $376.50
Fairfield, IA 1 $500.52 $500.52
Greenfield, IA 1 $435.00 $435.00
Hampton, IA 1 $591.30 $591.30
Harwarden, IA 1 $530.15 $530.15
Iowa City, IA 1 $1,182.68 $1,182.68
Mason City, IA 1 $442.65 $442.65
New Hampton, IA 1 $421.85 $421.85
Oelwein, IA 1 $421.85 $421.85
Orange City, IA 1 $514.40 $514.40
Pella, IA 1 $842.00 $842.00
Sioux Center, IA 1 $588.19 $588.19
Waukon, IA 1 $774.57 $774.57
West Union, IA 1 $824.47 $824.47
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

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).

RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) in other states

Median cash price across the state's hospitals.