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
$515
Average
$920
Median
$793
High
$2.8k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 3.0× 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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60 hospital rates
iThe hospitals that file a Carefirst 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 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $595 | $595 | — | — | 1–10 | $595 – $595 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $556 | $556 | — | — | — | $556 – $556 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $556 | $556 | — | — | — | $556 – $556 |
| 4 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $556 | $556 | — | — | — | $556 – $556 |
| 5 | Children's National Hospital Washington, DC professional · fee schedule · both | 1 | $594 | $594 | — | — | — | $594 – $594 |
| 6 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $556 | $556 | — | — | — | $556 – $556 |
| 7 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 2 | $520 | $512 | $9 | 2% | — | $501 – $520 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 2 | $520 | $512 | $9 | 2% | — | $501 – $520 |
| 9 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $2.9k | $2.8k | $82 | 3% | — | $2.7k – $2.9k |
| 10 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $2.9k | $2.8k | $89 | 3% | — | $2.7k – $2.9k |
| 11 | Inova Alexandria Hospital Alexandria, VA other · both | 2 | $793 | $793 | $21 | 3% | — | $772 – $814 |
| 12 | Inova Fair Oaks Hospital Fairfax, VA other · both | 2 | $793 | $793 | $21 | 3% | — | $772 – $814 |
| 13 | Inova Fairfax Hospital Falls Church, VA other · both | 2 | $793 | $793 | $21 | 3% | — | $772 – $814 |
| 14 | Inova Loudoun Hospital Leesburg, VA other · both | 2 | $793 | $793 | $21 | 3% | — | $772 – $814 |
| 15 | Inova Mount Vernon Hospital Alexandria, VA other · both | 2 | $793 | $793 | $21 | 3% | — | $772 – $814 |
| 16 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $681 | $681 | — | — | — | $681 – $681 |
| 17 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $784 | $784 | — | — | — | $784 – $784 |
| 18 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 20 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 3 | $892 | $892 | — | — | — | $892 – $892 |
| 21 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 3 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 3 | $718 | $718 | — | — | — | $718 – $718 |
| 23 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
← Payers reporting CPT 90381 · Snapshot 20261111T120946Z-9134e7f7