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
$45
Median
$26
High
$982
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1042 hospitals; the 90th percentile is 7.0× 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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1,354 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $21 | $21 | — | — | 335 | $21 – $21 |
| 2 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · fee schedule · both | 1 | $21 | $21 | — | — | 35 | $21 – $21 |
| 3 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR fee schedule · outpatient | 4 | $15 | $15 | $1 | 6% | 25 | $14 – $16 |
| 4 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 6 | $31 | $54 | $47 | 86% | 23–50 | $14 – $145 |
| 5 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 6 | $31 | $54 | $47 | 86% | 23–50 | $14 – $145 |
| 6 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 5 | $36 | $41 | $18 | 45% | 15 | $14 – $70 |
| 7 | Longview Medical Center LP Longview, TX facility · other · outpatient | 4 | $97 | $86 | $31 | 36% | 5–50 | $17 – $104 |
| 8 | ST ANTHONY'S HOSPITAL ASSOCIATION Morrilton, AR fee schedule · outpatient | 4 | $15 | $15 | $1 | 6% | 4–40 | $14 – $16 |
| 9 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $168 | $185 | $79 | 43% | 3–30 | $94 – $312 |
| 10 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN fee schedule · outpatient | 2 | $32 | $32 | $1 | 4% | 2–20 | $31 – $34 |
| 11 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · outpatient | 6 | $36 | $34 | $17 | 51% | 2–20 | $12 – $56 |
| 12 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 4 | $16 | $16 | $1 | 5% | 2–20 | $15 – $17 |
| 13 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 5 | $36 | $41 | $18 | 45% | 1–10 | $14 – $70 |
| 14 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 15 | MEMORIAL HEALTH CARE SYSTEM INC. Hixson, TN fee schedule · outpatient | 4 | $29 | $27 | $7 | 28% | 1–10 | $14 – $35 |
| 16 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC fee schedule · both | 4 | $31 | $35 | $22 | 63% | 1–10 | $14 – $73 |
| 17 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC fee schedule · both | 4 | $31 | $35 | $22 | 63% | 1–10 | $14 – $73 |
| 18 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $287 | $287 | — | — | 1–10 | $287 – $287 |
| 19 | ST JOSEPH REGIONAL HEALTH CENTER Bryan, TX fee schedule · outpatient | 7 | $49 | $35 | $19 | 54% | 1–10 | $12 – $57 |
| 20 | ST JOSEPH REGIONAL HEALTH CENTER College Station, TX fee schedule · outpatient | 6 | $49 | $39 | $18 | 47% | 1–10 | $12 – $57 |
| 21 | ST. VINCENT INFIRMARY MEDICAL CENTER Sherwood, AR fee schedule · outpatient | 4 | $15 | $15 | $1 | 6% | 1–10 | $14 – $16 |
| 22 | San Dimas Community Hospital Dimas, CA percent of total billed charges · outpatientfrom % of charges | 1 | $235 | $235 | — | — | 1–10 | $235 – $235 |
| 23 | Sturdy Memorial Hospital Attleboro, MA percent of total billed charges · outpatientfrom % of charges | 1 | $132 | $132 | — | — | 1–10 | $132 – $132 |
| 24 | Victoria of Texas LP Victoria, TX facility · other · outpatient | 2 | $45 | $45 | $28 | 62% | 1–10 | $17 – $73 |
| 25 | Victoria of Texas LP Victoria, TX facility · other · outpatient | 2 | $45 | $45 | $28 | 62% | 1–10 | $17 – $73 |
← Payers reporting CPT 87420 · Snapshot 20261111T120946Z-9134e7f7