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/0.5 ML INTRAMUSC SYRG [157776]
Arlington, TX
See all hospitals reporting CPT 90380 →Price type
AMH Cath Labs LLC’s median price of $997 is 4% below the median hospital's median price ($1.0k), higher than 47% of the 1,608 hospitals reporting CPT 90380. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
| 6 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $565 | $565 | — | — | — | $565 – $565 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $671 | $671 | — | — | — | $671 – $671 |
| 8 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $753 | $753 | — | — | — | $753 – $753 |
| 9 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $840 | $840 | — | — | — | $840 – $840 |
| 10 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $845 | $845 | — | — | — | $845 – $845 |
| 11 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $894 | $894 | — | — | — | $894 – $894 |
| 12 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $895 | $895 | — | — | — | $895 – $895 |
| 13 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $903 | $903 | — | — | — | $903 – $903 |
| 14 | Blue Cross Blue Shield exchange fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 23 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Blue Cross Blue Shield traditional fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
Last updated: Apr 21, 2026
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