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 100 mg/mL syringe 1 mL Syringe
Boulder, CO
See all hospitals reporting CPT 90381 →Price type
Boulder Community Health’s median price of $919 is 5% below the median hospital's median price ($967), higher than 48% of the 1,434 hospitals reporting CPT 90381. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 28 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 | Humana medicare advantage professional · fee schedule · both | $507 | $507 | — | — | — | $507 – $507 |
| 2 | Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges | $545 | $545 | $38 | 7% | — | $507 – $583 |
| 3 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $545 | $545 | $38 | 7% | — | $507 – $583 |
| 4 | UnitedHealthcare commercial professional · fee schedule · both | $556 | $556 | — | — | — | $556 – $556 |
| 5 | Aetna medicare advantage professional · fee schedule · both | $567 | $567 | — | — | — | $567 – $567 |
| 6 | Kaiser managed care facility · percent of total billed charges · inpatientfrom % of charges | $579 | $579 | — | — | — | $579 – $579 |
| 7 | Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges | $579 | $579 | — | — | — | $579 – $579 |
| 8 | Anthem commercial professional · fee schedule · both | $607 | $607 | — | — | — | $607 – $607 |
| 9 | Anthem managed care professional · fee schedule · both | $607 | $607 | — | — | — | $607 – $607 |
| 10 | UnitedHealthcare medicare advantage professional · fee schedule · both | $613 | $613 | — | — | — | $613 – $613 |
| 11 | Cigna commercial facility · fee schedule · outpatient | $623 | $623 | — | — | — | $623 – $623 |
| 12 | Cigna commercial professional · fee schedule · both | $666 | $666 | — | — | — | $666 – $666 |
| 13 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $775 | $775 | — | — | — | $775 – $775 |
| 14 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $777 | $777 | — | — | — | $777 – $777 |
| 15 | Aetna commercial professional · fee schedule · both | $817 | $817 | $250 | 31% | — | $567 – $1.1k |
| 16 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $713 | $825 | $251 | 30% | — | $571 – $1.4k |
| 17 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $889 | $889 | — | — | — | $889 – $889 |
| 18 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $926 | $926 | — | — | — | $926 – $926 |
| 19 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $926 | $926 | — | — | — | $926 – $926 |
| 20 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $348 | 30% | — | $801 – $1.5k |
| 21 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 22 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 23 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 24 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1000 | $1.3k | $422 | 34% | — | $919 – $1.9k |
Last updated: Sep 16, 2026
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