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
Low
$8
Average
$54
Median
$34
High
$494
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +20 other terms | 660 | $20 | $21 | $15 | 72% | 1–10 | $5 – $286 |
| 2 | Aetna fee schedule · outpatient · +16 other terms | 627 | $21 | $72 | $416 | 576% | — | $0 – $8.4k |
| 3 | Humana fee schedule · outpatient · +17 other terms | 451 | $20 | $43 | $56 | 131% | — | $12 – $526 |
| 4 | Cigna fee schedule · outpatient · +17 other terms | 433 | $39 | $52 | $41 | 80% | — | $5 – $241 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +18 other terms | 424 | $28 | $47 | $47 | 100% | — | $1 – $441 |
| 6 | WellCare fee schedule · outpatient · +11 other terms | 271 | $20 | $21 | $4 | 18% | — | $15 – $61 |
| 7 | Molina fee schedule · outpatient · +14 other terms | 245 | $22 | $23 | $10 | 44% | — | $1 – $85 |
| 8 | Devoted fee schedule · outpatient · +7 other terms | 194 | $20 | $20 | $1 | 3% | — | $19 – $23 |
| 9 | Oscar fee schedule · outpatient · +9 other terms | 168 | $38 | $41 | $14 | 34% | — | $19 – $60 |
| 10 | Anthem fee schedule · outpatient · +14 other terms | 158 | $28 | $41 | $38 | 92% | — | $3 – $228 |
| 11 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 130 | $20 | $20 | $1 | 6% | — | $16 – $32 |
| 12 | Ambetter fee schedule · outpatient · +9 other terms | 98 | $32 | $28 | $9 | 32% | — | $13 – $53 |
| 13 | Kaiser fee schedule · outpatient · +8 other terms | 83 | $20 | $25 | $13 | 54% | — | $4 – $73 |
| 14 | Aetna Better Health fee schedule · outpatient · +9 other terms | 74 | $18 | $18 | $1 | 6% | — | $17 – $21 |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 67 | $20 | $22 | $5 | 21% | — | $18 – $39 |
| 16 | Superior Healthplan fee schedule · outpatient · +5 other terms | 53 | $21 | $24 | $5 | 21% | — | $16 – $61 |
| 17 | Clover fee schedule · outpatient · +5 other terms | 47 | $20 | $20 | $0 | 2% | — | $20 – $21 |
| 18 | Optum fee schedule · outpatient · +10 other terms | 41 | $20 | $27 | $12 | 43% | — | $19 – $56 |
| 19 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $71 | $75 | $36 | 48% | — | $20 – $168 |
| 20 | First Health fee schedule · outpatient · +11 other terms | 33 | $20 | $19 | $7 | 36% | — | $4 – $39 |
| 21 | Tricare fee schedule · outpatient · +8 other terms | 31 | $20 | $20 | $1 | 4% | — | $16 – $21 |
| 22 | Healthcare Highways fee schedule · outpatient | 29 | $46 | $50 | $10 | 20% | — | $28 – $59 |
| 23 | Amerihealth Caritas fee schedule · outpatient · +6 other terms | 27 | $23 | $23 | $6 | 26% | — | $3 – $29 |
| 24 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 27 | $28 | $29 | $7 | 25% | — | $19 – $43 |
| 25 | Regence facility · fee schedule · outpatient · +5 other terms | 26 | $21 | $24 | $11 | 44% | — | $17 – $59 |
← Hospitals reporting CPT 87250 · Snapshot 20261113T090226Z-3ce6c0b8