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
NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE
Low
$45
Average
$220
Median
$169
High
$724
Each hospital's average Superior Healthplan rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 5.6× 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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31 hospital rates
iThe hospitals that file a Superior Healthplan 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 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX percent of total billed charges · outpatientfrom % of charges | 5 | $72 | $72 | — | — | — | $72 – $72 |
| 2 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX percent of total billed charges · outpatientfrom % of charges | 5 | $72 | $72 | — | — | — | $72 – $72 |
| 3 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX percent of total billed charges · outpatientfrom % of charges | 5 | $161 | $161 | — | — | — | $161 – $161 |
| 4 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 5 | $139 | $139 | $1 | 1% | — | $138 – $140 |
| 5 | HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 5 | $84 | $84 | — | — | — | $84 – $84 |
| 6 | HCA HOUSTON HEALTHCARE TOMBALL Tomball, TX percent of total billed charges · outpatientfrom % of charges | 5 | $136 | $136 | — | — | — | $136 – $136 |
| 7 | HCA HOUSTON HEALTHCARE WEST STAFFORD, TX percent of total billed charges · outpatientfrom % of charges | 5 | $114 | $114 | — | — | — | $114 – $114 |
| 8 | HCA HOUSTON MAINLAND Texas City, TX percent of total billed charges · outpatientfrom % of charges | 5 | $72 | $72 | — | — | — | $72 – $72 |
| 9 | HCA Houston Rehabilitation Hospital Southeast Pasadena, TX percent of total billed charges · outpatientfrom % of charges | 5 | $84 | $84 | — | — | — | $84 – $84 |
| 10 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 11 | Laredo Texas Hospital Company LP Laredo, TX facility · other · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 12 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 2 | $387 | $387 | $216 | 56% | — | $171 – $603 |
| 13 | MEDICAL CITY ALLIANCE HASLET, TX percent of total billed charges · outpatientfrom % of charges | 5 | $196 | $196 | — | — | — | $196 – $196 |
| 14 | MEDICAL CITY ARLINGTON GRAND PRAIRIE, TX percent of total billed charges · outpatientfrom % of charges | 5 | $187 | $187 | — | — | — | $187 – $187 |
| 15 | MEDICAL CITY DALLAS GARLAND, TX percent of total billed charges · outpatientfrom % of charges | 5 | $208 | $208 | — | — | — | $208 – $208 |
| 16 | MEDICAL CITY LAS COLINAS Irving, TX percent of total billed charges · outpatientfrom % of charges | 5 | $147 | $147 | — | — | — | $147 – $147 |
| 17 | MEDICAL CITY LEWISVILLE Lewisville, TX percent of total billed charges · outpatientfrom % of charges | 5 | $183 | $183 | — | — | — | $183 – $183 |
| 18 | MEDICAL CITY MCKINNEY MCKINNEY, TX percent of total billed charges · outpatientfrom % of charges | 5 | $216 | $216 | — | — | — | $216 – $216 |
| 19 | MEDICAL CITY PLANO Plano, TX percent of total billed charges · outpatientfrom % of charges | 5 | $291 | $291 | — | — | — | $291 – $291 |
| 20 | MEDICAL CITY SURGERY CITY ALLIANCE FT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 5 | $196 | $196 | — | — | — | $196 – $196 |
| 21 | Ochiltree General Hospital Perryton, TX fee schedule · outpatient | 2 | $394 | $394 | — | — | — | $394 – $394 |
| 22 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $529 | $529 | — | — | — | $529 – $529 |
| 23 | Piney Woods Healthcare System LP Lufkin, TX facility · fee schedule · outpatient | 2 | $88 | $88 | $15 | 17% | — | $73 – $102 |
| 24 | ST DAVIDS REHAB Austin, TX percent of total billed charges · outpatientfrom % of charges | 7 | $72 | $147 | $86 | 59% | — | $72 – $246 |
| 25 | ST. DAVID'S MEDICAL CENTER Manor, TX percent of total billed charges · outpatientfrom % of charges | 7 | $72 | $147 | $86 | 59% | — | $72 – $246 |
← Payers reporting CPT 90380 · Snapshot 20261111T120946Z-9134e7f7