NDC 00069-2465-19
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
RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION
Low
$104
Average
$516
Median
$575
High
$770
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 26 hospitals; the 90th percentile is 3.1× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Mercy Medical Center-Clinton Inc Clinton, IA | $307 | $307 | $0 | 0% | — | $293 – $1.5k |
| 2 | Wheeling Hospital, Inc. Wheeling, WV | $11 | $104 | $186 | 179% | — | $10 – $477 |
| 3 | City Hospital, Inc. Martinsburg, WV | $244 | $244 | $233 | 96% | — | $11 – $477 |
| 4 | Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc Shreveport, LA | $297 | $297 | — | — | — | $214 – $743 |
| 5 | Nebraska Medical Center Omaha, NE | $32 | $125 | $162 | 130% | — | $31 – $4.9k |
| 6 | Indiana University Health West Hospital Inc. Avon, IN | $760 | $761 | $123 | 16% | — | $382 – $1.2k |
| 7 | Indiana University Health North Hospital Inc. Carmel, IN | $760 | $761 | $123 | 16% | — | $382 – $1.2k |
| 8 | Indiana University Health Inc. Indianapolis, IN | $760 | $761 | $123 | 16% | — | $382 – $1.2k |
| 9 | Indiana University Health Paoli Inc. Paoli, IN | $708 | $694 | $87 | 13% | — | $391 – $1.3k |
| 10 | Indiana University Health Bloomington Inc. Bloomington, IN | $760 | $761 | $123 | 16% | — | $332 – $1.3k |
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