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
$1
Average
$39
Median
$15
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
649 hospitals; the 90th percentile is 4.8× 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.
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814 hospital rates
iThe hospitals that file a Molina 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $20 | $20 | $7 | 36% | 186–195 | $13 – $28 |
| 2 | UMMC HOLMES COUNTY LEXINGTON, MS fee schedule · outpatient | 2 | $20 | $20 | $7 | 36% | 44–53 | $13 – $28 |
| 3 | Victor Valley Global Medical Center Victorville, CA facility · other · outpatient | 1 | $3 | $3 | — | — | 42 | $3 – $3 |
| 4 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 1 | $5 | $5 | — | — | 13 | $5 – $5 |
| 5 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS fee schedule · outpatient | 2 | $20 | $20 | $7 | 36% | 12–21 | $13 – $28 |
| 6 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 3 | $6 | $9 | $4 | 44% | 11 | $6 – $14 |
| 7 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $12 | $12 | — | — | 2–20 | $12 – $12 |
| 8 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $108 | $108 | $0 | 0% | 2–20 | $108 – $109 |
| 9 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 2 | $10 | $10 | $4 | 43% | 1–10 | $5 – $14 |
| 10 | DIGNITY HEALTH Folsom, CA fee schedule · outpatient | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 11 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 3 | $6 | $9 | $4 | 44% | 1–10 | $6 – $14 |
| 12 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 13 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS other · outpatient | 1 | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 14 | UMMC HOLMES COUNTY LEXINGTON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 16 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 17 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 18 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 19 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $48 | $48 | $0 | 0% | — | $48 – $48 |
| 21 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $36 | $37 | $5 | 12% | — | $33 – $44 |
| 22 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 23 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 24 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $21 | $21 | $7 | 34% | — | $14 – $29 |
| 25 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
← Payers reporting CPT 87420 · Snapshot 20261111T120946Z-9134e7f7