RSV antibody injection with counseling

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Vaccine Rsv Monoclonal Ab Seasonal Dose Im W/Counseling by Phy/Oth Qhp

Medicaid pricing summary

Low

Average

$35

Median

$30

High

$77

Medicaid rate distribution

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56 hospital rates

#		Plans
1	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient	1	$59	$59	—	—	—	$59 – $59
2	ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient	1	$59	$59	—	—	—	$59 – $59
3	Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient	1	$25	$25	—	—	—	$25 – $25
4	Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient	1	$25	$25	—	—	—	$25 – $25
5	Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient	1	$25	$25	—	—	—	$25 – $25
6	Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient	2	$46	$46	—	—	—	$46 – $46
7	Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient	2	$18	$18	—	—	—	$18 – $18
8	CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient	1	$18	$18	—	—	—	$18 – $18
9	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$27	$27	—	—	—	$27 – $27
10	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both	1	$20	$20	—	—	—	$20 – $20
11	Emerson Hospital Concord, MA facility · fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
12	Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient	2	$94	$94	—	—	—	$94 – $94
13	Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient	2	$18	$18	—	—	—	$18 – $18
14	Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both	1	$17	$17	—	—	—	$17 – $17
15	Geisinger Community Medical Center Scranton, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
16	Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
17	Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
18	Geisinger Medical Center Muncy, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
19	Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
20	Greater Baltimore Medical Center Towson, MD professional · fee schedule · both	1	$19	$19	—	—	—	$19 – $19
21	HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA per diem · both	1	$2	$2	—	—	—	$2 – $2
22	HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges	1	$39	$39	—	—	—	$39 – $39
23	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient	1	$27	$27	—	—	—	$27 – $27
24	LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient	1	$52	$52	$8	15%	—	$44 – $59
25	Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges	1	$72	$72	—	—	—	$72 – $72