Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
REF RSV - RESP SYNC VIR
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$38
Median
$27
High
$312
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 88 hospitals; the 90th percentile is 3.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Springhill Memorial Hospital Mobile, AL | $33 | $83 | $87 | 104% | 4–40 | $33 – $234 |
| 2 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $20 | $27 | $11 | 40% | — | $20 – $43 |
| 3 | Henry Ford Health Novi, MI | $20 | $19 | $6 | 29% | — | $11 – $35 |
| 4 | Northside Hospital, Inc. Lawrenceville, GA | $28 | $36 | $21 | 57% | — | $14 – $67 |
| 5 | Northside Hospital, Inc. Atlanta, GA | $28 | $37 | $20 | 55% | — | $15 – $67 |
| 6 | Sacred Heart Health System, Inc. Joe, FL | $20 | $27 | $13 | 47% | — | $20 – $74 |
| 7 | St. Vincent's Medical Center-Clay County, Inc. Middleburg, FL | $20 | $26 | $7 | 29% | — | $17 – $44 |
| 8 | St. Luke's-St. Vincent's Healthcare, Inc. Jacksonville, FL | $20 | $25 | $7 | 30% | — | $17 – $44 |
| 9 | University Medical Center of Southern Nevada Las Vegas, NV | $13 | $13 | — | — | — | $13 – $13 |
| 10 | Fairfield Medical Center Lancaster, OH | $26 | $26 | $6 | 25% | — | $20 – $32 |
Ask Claude or any MCP client for CPT 87250 pricing at a specific hospital — see how to connect.