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Procedure price report · Prophylactic vaccinations and inoculations

RSV preventive antibody shot, 50 mg dose

CPT 90378the billing code this page is about

Covers the palivizumab product given as a muscle injection to help prevent respiratory syncytial virus illness in high-risk infants; billed per 50 mg dose, and the injection visit is charged separately.

Hospitals typically charge $2,841 cash for this outpatient procedure — the median across 1,054 hospitals that filed a usable cash price; the average of the middle 60% is $3,118. Most fall between $1,468 and $6,676 (20th–80th percentile).

Hospitals
1,054
States
50
Filings dated
Dec 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,054 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$903$1,679$2,841$5,189$10,361

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($903 vs $10,361).

How the prices are spread

$612 – $839: 44 hospitals$612$839 – $1,149: 57 hospitals$1,149 – $1,575: 88 hospitals$1,149$1,575 – $2,159: 154 hospitals$2,159 – $2,958: 160 hospitals$2,159$2,958 – $4,054: 130 hospitals$4,054 – $5,556: 126 hospitals$4,054$5,556 – $7,614: 75 hospitals$7,614 – $10,434: 64 hospitals$7,614$10,434 – $14,299: 53 hospitals$10,434median $2,841price bands are equal on a log scale
Hospitals per price band (951 of 1,054 — the bands cover the 5th to 95th percentile)
FromToHospitals
$612$83944
$839$1,14957
$1,149$1,57588
$1,575$2,159154
$2,159$2,958160
$2,958$4,054130
$4,054$5,556126
$5,556$7,61475
$7,614$10,43464
$10,434$14,29953

Against Medicare

Medicare pays (OPPS 2026, national rate)$437
Median cash price$2,841
Cash as a multiple of Medicare6.5×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $2,841.

Alaska: median $2,302 across 12 hospitalsAK$2,302Maine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,514 across 16 hospitalsWA$4,514Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $2,286 across 11 hospitalsMT$2,286North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,741 across 32 hospitalsMN$2,741Illinois: median $1,750 across 22 hospitalsIL$1,750Wisconsin: median $2,841 across 40 hospitalsWI$2,841Michigan: median $1,386 across 35 hospitalsMI$1,386New York: median $1,646 across 48 hospitalsNY$1,646Massachusetts: median $4,414 across 12 hospitalsMA$4,414Oregon: median $2,079 across 22 hospitalsOR$2,079Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,838 across 29 hospitalsIA$1,838Indiana: median $3,845 across 37 hospitalsIN$3,845Ohio: median $5,037 across 29 hospitalsOH$5,037Pennsylvania: median $4,491 across 47 hospitalsPA$4,491New Jersey: median $720 across 20 hospitalsNJ$720Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,743 across 97 hospitalsCA$2,743Utah: median $6,240 across 10 hospitalsUT$6,240Colorado: median $2,632 across 31 hospitalsCO$2,632Nebraska: median $2,267 across 25 hospitalsNE$2,267Missouri: median $1,824 across 12 hospitalsMO$1,824Kentucky: median $5,096 across 27 hospitalsKY$5,096West Virginia: median $4,097 across 24 hospitalsWV$4,097Virginia: median $2,045 across 10 hospitalsVA$2,045Maryland: median $3,114 across 14 hospitalsMD$3,114Delaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $4,568 across 14 hospitalsAZ$4,568New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,969 across 18 hospitalsKS$2,969Arkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,769 across 25 hospitalsTN$1,769North Carolina: median $2,622 across 34 hospitalsNC$2,622South Carolina: median $3,658 across 19 hospitalsSC$3,658Oklahoma: 9 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: median $1,835 across 13 hospitalsLA$1,835Mississippi: median $1,016 across 14 hospitalsMS$1,016Alabama: median $2,491 across 11 hospitalsAL$2,491Georgia: median $7,620 across 17 hospitalsGA$7,620Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,280 across 97 hospitalsTX$3,280Florida: median $6,887 across 48 hospitalsFL$6,887
Cash price by state, most expensive first. National median $2,841. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA17$7,620+168%$983 – $8,456
Florida FL48$6,887+142%$2,498 – $10,924
Utah UT10$6,240+120%$2,549 – $7,134
Kentucky KY27$5,096+79%$3,385 – $18,898
Ohio OH29$5,037+77%$1,785 – $5,189
Arizona AZ14$4,568+61%$867 – $6,566
Washington WA16$4,514+59%$914 – $94,435
Pennsylvania PA47$4,491+58%$1,721 – $14,299
Massachusetts MA12$4,414+55%$2,513 – $9,292
West Virginia WV24$4,097+44%$2,731 – $4,097
Indiana IN37$3,845+35%$1,891 – $5,817
South Carolina SC19$3,658+29%$3,135 – $7,629
Texas TX97$3,280+15%$2,117 – $8,450
Maryland MD14$3,114+10%$2,171 – $3,383
Kansas KS18$2,969+5%$2,102 – $5,699
Wisconsin WI40$2,8410%$2,004 – $6,761
California CA97$2,743−3%$1,827 – $7,101
Minnesota MN32$2,741−3%$1,926 – $3,597
Colorado CO31$2,632−7%$2,549 – $5,690
North Carolina NC34$2,622−8%$1,516 – $14,230
Alabama AL11$2,491−12%$1,925 – $5,362
Alaska AK12$2,302−19%$849 – $6,676
Montana MT11$2,286−20%$1,913 – $3,403
Nebraska NE25$2,267−20%$1,513 – $3,474
Oregon OR22$2,079−27%$1,138 – $2,676
Virginia VA10$2,045−28%$578 – $5,869
Iowa IA29$1,838−35%$1,750 – $3,277
Louisiana LA13$1,835−35%$546 – $2,556
Missouri MO12$1,824−36%$1,298 – $4,850
Tennessee TN25$1,769−38%$1,385 – $2,250
Illinois IL22$1,750−38%$989 – $2,442
New York NY48$1,646−42%$720 – $5,041
Michigan MI35$1,386−51%$703 – $4,105
Mississippi MS14$1,016−64%$494 – $2,250
New Jersey NJ20$720−75%$720 – $6,201
New Hampshire NH9not enough hospitals filed a usable price
Oklahoma OK9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $2,841.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care799$2,956$1,385 – $7,101
Children’s23$5,690$1,626 – $9,490
Critical access229$2,676$1,482 – $4,667
Ownership
For-profit165$5,699$2,121 – $11,040
Government154$1,992$933 – $4,187
Non-profit732$2,736$1,482 – $5,299
System affiliation
Part of a system905$2,956$1,516 – $6,862
Independent149$2,268$1,035 – $4,641

Cash price vs list price

Median list price (chargemaster)$5,462
Median cash price$2,841
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

740 hospitals filed a usable inpatient cash price for this code. The median is $2,956 and the average of the middle 60% is $3,137; most fall between $1,631 and $6,424.

Cash price percentiles, inpatient, across 740 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,096$1,750$2,956$5,096$8,911

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($1,096 vs $8,911).

Of the 827 hospitals that filed this code inpatient, 740 gave a usable cash price; 27 carried a plausibility flag, 6 filed a number their own filing marks as not a price, 0 gave an estimate, and 54 a list price only.

How complete is this

1,054 of the 3,956 hospitals with a price file in our corpus (27%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,167 hospitals that filed this code at all gave us
Usable cash price — counted1,054
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded7
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded59
Hospitals that filed this code1,167

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Prophylactic vaccinations and inoculations family.

Hospitals file this code under descriptions such as RSV MAB IM 50MG.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “RSV preventive antibody shot, 50 mg dose (CPT 90378) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90378-rsv-preventive-antibody-shot-50-mg-dose