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/0.5ML IM SOSY
Low
$0
Average
$1.1k
Median
$884
High
$13.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
727 hospitals; the 90th percentile is 5.8× 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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1,156 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 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $925 | $925 | — | — | 14 | $925 – $925 |
| 2 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $894 | 63% | 2–20 | $533 – $2.3k |
| 3 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | $824 | 49% | 2–20 | $865 – $2.5k |
| 4 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $3.4k | $3.5k | $451 | 13% | 2–20 | $3.4k – $5.7k |
| 5 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $1.1k | $1.1k | $64 | 6% | 2–20 | $1.0k – $1.1k |
| 6 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 7 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $925 | $925 | — | — | 1–10 | $925 – $925 |
| 8 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 9 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $925 | $925 | — | — | 1–10 | $925 – $925 |
| 10 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 4 | $938 | $1.1k | $412 | 38% | 1–10 | $714 – $1.7k |
| 11 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 4 | $938 | $1.1k | $412 | 38% | 1–10 | $714 – $1.7k |
| 12 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $925 | $925 | — | — | 1–10 | $925 – $925 |
| 13 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $632 | $632 | — | — | 1–10 | $632 – $632 |
| 14 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $635 | $635 | — | — | 1–10 | $635 – $635 |
| 15 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $632 | $632 | — | — | 1–10 | $632 – $632 |
| 16 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $635 | $635 | — | — | 1–10 | $635 – $635 |
| 17 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $567 | $555 | $17 | 3% | 1–10 | $530 – $567 |
| 18 | Mercy Hospital Southeast Girardeau, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $466 | $466 | — | — | 1–10 | $466 – $466 |
| 19 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $557 | $557 | — | — | 1–10 | $557 – $557 |
| 20 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 21 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $2.7k | $2.7k | $875 | 33% | 1–10 | $1.8k – $3.5k |
| 22 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · bothfrom % of charges | 4 | $3.0k | $2.8k | $1.8k | 65% | 1–10 | $0 – $5.9k |
| 23 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $596 | $616 | $617 | 100% | 1–10 | $0 – $1.3k |
| 24 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $925 | $925 | — | — | 1–10 | $925 – $925 |
| 25 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
← Payers reporting CPT 90381 · Snapshot 20261111T120946Z-9134e7f7