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
IA RESP SYNCYTIAL VIR QL
Low
$0
Average
$1.7k
Median
$30
High
$2574.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1541 hospitals; the 90th percentile is 12.0× 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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2,311 hospital rates
iThe hospitals that file a Aetna 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 | PORT CITY OPERATING COMPANY, LLC Stockton, CA fee schedule · outpatient | 4 | $64 | $52 | $22 | 42% | 33 | $14 – $64 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | 17 | $31 – $31 |
| 3 | DIGNITY HEALTH Redding, CA fee schedule · outpatient | 4 | $14 | $27 | $17 | 63% | 6–60 | $14 – $49 |
| 4 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 4 | $42 | $43 | $19 | 44% | 6–60 | $14 – $63 |
| 5 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 4 | $64 | $52 | $22 | 42% | 3–30 | $14 – $64 |
| 6 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 4 | $38 | $32 | $11 | 33% | 3–30 | $14 – $38 |
| 7 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 4 | $35 | $30 | $9 | 31% | 3–30 | $14 – $35 |
| 8 | DIGNITY HEALTH Folsom, CA fee schedule · outpatient | 4 | $64 | $51 | $22 | 42% | 3–30 | $14 – $64 |
| 9 | DIGNITY HEALTH Merced, CA fee schedule · outpatient | 4 | $57 | $46 | $19 | 40% | 3–30 | $14 – $57 |
| 10 | SIERRA NEVADA MEMORIAL-MINERS HOSPITAL Grass Valley, CA fee schedule · outpatient | 4 | $61 | $49 | $20 | 41% | 3–30 | $14 – $61 |
| 11 | DIGNITY HEALTH Santa Cruz, CA fee schedule · outpatient | 2 | $98 | $98 | — | — | 2–20 | $98 – $98 |
| 12 | HCA FLORIDA ST. LUCIE HOSPITAL PORT ST LUCIE, FL percent of total billed charges · outpatientfrom % of charges | 3 | $16 | $17 | $6 | 37% | 2–20 | $10 – $25 |
| 13 | HCA FLORIDA WEST HOSPITAL PENSACOLA, FL percent of total billed charges · outpatientfrom % of charges | 3 | $121 | $93 | $46 | 49% | 2–20 | $29 – $130 |
| 14 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 2 | $126 | $126 | $49 | 39% | 2–20 | $77 – $176 |
| 15 | CHIPPENHAM HOSPITAL RICHMOND, VA percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | — | — | 1–10 | $169 – $169 |
| 16 | CLEVELAND AREA HOSPITAL CLEVELAND, OK percent of total billed charges · outpatientfrom % of charges | 2 | $74 | $74 | $31 | 42% | 1–10 | $43 – $105 |
| 17 | HCA FLORIDA GULF COAST HOSPITAL PANAMA CITY BEACH, FL percent of total billed charges · outpatientfrom % of charges | 2 | $350 | $357 | $76 | 21% | 1–10 | $268 – $453 |
| 18 | HCA FLORIDA LAWNWOOD HOSPITAL VERO BEACH, FL percent of total billed charges · outpatientfrom % of charges | 2 | $372 | $372 | $1 | 0% | 1–10 | $371 – $373 |
| 19 | HCA FLORIDA LEHIGH HOSPITAL LEHIGH ACRES, FL percent of total billed charges · outpatientfrom % of charges | 2 | $149 | $149 | $10 | 7% | 1–10 | $139 – $160 |
| 20 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $1.0k | $1.0k | 98% | 1–10 | $20 – $2.0k |
| 21 | HCA FLORIDA SOUTH TAMPA HOSPITAL TAMPA, FL percent of total billed charges · outpatientfrom % of charges | 2 | $46 | $46 | $36 | 78% | 1–10 | $10 – $82 |
| 22 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · outpatient | 2 | $144 | $144 | $130 | 90% | 1–10 | $14 – $274 |
| 23 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 24 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 2 | $303 | $283 | $27 | 10% | 1–10 | $245 – $303 |
| 25 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $303 | $283 | $27 | 10% | 1–10 | $245 – $303 |
← Payers reporting CPT 87420 · Snapshot 20261111T120946Z-9134e7f7