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

Premera pricing summary

Low

$14

Average

$48

Median

$37

High

$120

Premera rate distribution

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42 hospital rates

#		Plans
1	Mishawaka Medical Center Mishawaka, IN professional · percent of total billed charges · bothfrom % of charges	1	$51	$51	—	—	1–10	$51 – $51
2	Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges	1	$89	$89	—	—	1–10	$89 – $89
3	Central Washington Health Services Association Wenatchee, WA fee schedule · both	1	$50	$50	—	—	—	$50 – $50
4	Central Washington Health Services Association Wenatchee, WA fee schedule · outpatient	1	$50	$50	—	—	—	$50 – $50
5	Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges	3	$22	$22	$1	4%	—	$20 – $22
6	Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges	3	$22	$22	$1	4%	—	$20 – $22
7	Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient	1	$79	$79	—	—	—	$79 – $79
8	Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient	1	$79	$79	—	—	—	$79 – $79
9	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	1	$102	$102	—	—	—	$102 – $102
10	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both	1	$28	$28	—	—	—	$28 – $28
11	Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient	1	$29	$29	—	—	—	$29 – $29
12	Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient	1	$29	$29	—	—	—	$29 – $29
13	Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · inpatient	1	$29	$29	—	—	—	$29 – $29
14	Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient	1	$29	$29	—	—	—	$29 – $29
15	Mercy Health Saint Marys Rockford, MI facility · fee schedule · both	1	$63	$63	—	—	—	$63 – $63
16	Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient	1	$29	$29	—	—	—	$29 – $29
17	Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient	1	$29	$29	—	—	—	$29 – $29
18	Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient	1	$28	$28	—	—	—	$28 – $28
19	Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient	1	$28	$28	—	—	—	$28 – $28
20	Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both	1	$57	$57	—	—	—	$57 – $57
21	Mount Carmel East Reynoldsburg, OH facility · fee schedule · both	1	$37	$37	—	—	—	$37 – $37
22	Mount Carmel Grove City Grove City, OH facility · fee schedule · both	1	$37	$37	—	—	—	$37 – $37
23	Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both	1	$37	$37	—	—	—	$37 – $37
24	PORTLAND ADVENTIST MEDICAL CENTER Portland, OR percent of total billed charges · outpatientfrom % of charges	1	$14	$14	—	—	—	$14 – $14
25	Plymouth Medical Center Plymouth, IN facility · fee schedule · both	1	$57	$57	—	—	—	$57 – $57