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 MGM/ML INTRAMUSCULAR SYRINGME
Garrison, ND
See all hospitals reporting CPT 90381 →Price type
Garrison Memorial Hospital’s median price of $447 is 54% below the median hospital's median price ($967), higher than 9% 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: 6 payers, 13 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|all plans fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 2 | Medica medicare|all plans fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 5 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $389 | $389 | — | — | — | $389 – $389 |
| 6 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $389 | $389 | — | — | — | $389 – $389 |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 8 | Medica commercial|all plans fee schedule · inpatient | $458 | $458 | — | — | — | $458 – $458 |
| 9 | Medica commercial|all plans fee schedule · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $473 | $473 | — | — | — | $473 – $473 |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $473 | $473 | — | — | — | $473 – $473 |
| 12 | Sanford Health Plan commercial|all plans fee schedule · inpatient | $500 | $500 | — | — | — | $500 – $500 |
| 13 | Sanford Health Plan commercial|all plans fee schedule · outpatient | $500 | $500 | — | — | — | $500 – $500 |
Last updated: Feb 28, 2026
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