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
$27
Average
$151
Median
$75
High
$556
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 19.4× 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.
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25 hospital rates
iThe hospitals that file a Phcs rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Barnes Jewish St. Peters Hospital St. Peters, MO percent of total billed charges · bothfrom % of charges | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 3 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 4 | Henry Ford Health Township, MI fee schedule · both | 2 | $27 | $27 | — | — | — | $27 – $27 |
| 5 | Henry Ford Health Detroit, MI fee schedule · both | 2 | $27 | $27 | — | — | — | $27 – $27 |
| 6 | Henry Ford Health Heights, MI fee schedule · both | 2 | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Henry Ford Health Warren, MI fee schedule · both | 2 | $27 | $27 | — | — | — | $27 – $27 |
| 8 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 9 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · inpatient | 1 | $601 | $601 | — | — | — | $601 – $601 |
| 10 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · outpatient | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 11 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · inpatient | 1 | $601 | $601 | — | — | — | $601 – $601 |
| 12 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · outpatient | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 13 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE San Augustine, TX fee schedule · inpatient | 1 | $601 | $601 | — | — | — | $601 – $601 |
| 14 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE San Augustine, TX fee schedule · outpatient | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 15 | Memorial Hospital Shiloh, IL percent of total billed charges · bothfrom % of charges | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 16 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | $5 | 7% | — | $70 – $80 |
| 17 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | $5 | 7% | — | $70 – $80 |
| 18 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | $5 | 7% | — | $70 – $80 |
| 19 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | $5 | 7% | — | $70 – $80 |
| 20 | Northside Hospital, Inc. Canton, GA percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | $5 | 7% | — | $70 – $80 |
| 21 | Progress West Hospital O'Fallon, MO percent of total billed charges · bothfrom % of charges | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 22 | Southcoast Hospitals Group, Inc. Bedford, MA percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 23 | Southcoast Hospitals Group, Inc. Wareham, MA percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 24 | Southcoast Hospitals Group, Inc. River, MA percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 25 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX fee schedule · both | 1 | $68 | $68 | — | — | — | $68 – $68 |
← Payers reporting CPT 87250 · Snapshot 20261113T090226Z-3ce6c0b8