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
49281-0575-00 - nirsevimab (cvx 306) alip preserva
Durant, OK
See all hospitals reporting CPT 90380 →Price type
Durant HMA LLC’s median price of $3.9k is 271% above the median hospital's median price ($1.0k), higher than 98% of the 1,601 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: 9 payers, 20 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 | Aetna aetna betterhealth medicaid ok facility · fee schedule · outpatient | $463 | $463 | — | — | — | $463 – $463 |
| 2 | Humana humana healthy horizons medicaid ok facility · fee schedule · outpatient | $463 | $463 | — | — | — | $463 – $463 |
| 3 | Tricare node tricare facility · fee schedule · outpatient | $590 | $590 | — | — | — | $590 – $590 |
| 4 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 7 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 8 | Healthcare Highways healthcare highways facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | Healthcare Highways healthcare highways facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Phcs phcs savility facility · percent of total billed charges · inpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 11 | Phcs phcs savility facility · percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 12 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 13 | First Health coventry facility · percent of total billed charges · outpatientfrom % of charges | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 14 | First Health first health ccn facility · percent of total billed charges · outpatientfrom % of charges | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 15 | First Health first health ccn facility · percent of total billed charges · inpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 16 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 17 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 18 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 19 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 20 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
Last updated: Apr 1, 2026
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