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
SARSCOV INF VIR AB AG IA
The hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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552 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $29.49 | $29.49 – $29.49 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $201.05 | $70.29 – $288.03 |
| 3 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 3 | $75.79 | $68.83 – $88.24 |
| 4 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $66.09 | $61.89 – $70.29 |
| 5 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 3 | $30.95 | $30.95 – $30.95 |
| 6 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $70.29 | $70.29 – $70.29 |
| 7 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $70.29 | $70.29 – $70.29 |
| 8 | Alta Newport Hospital, LLC Tustin, CA facility · fee schedule · outpatient | 1 | $144.09 | $144.09 – $144.09 |
| 9 | American Hospital Management Corporation Arcata, CA facility · fee schedule · outpatient | 2 | $191.46 | $191.46 – $191.46 |
| 10 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI other · outpatient | 1 | $43.93 | $43.93 – $43.93 |
| 11 | Ascension SE Wisconsin Hospital, Inc. Franklin, WI other · outpatient | 1 | $43.93 | $43.93 – $43.93 |
| 12 | Ascension SE Wisconsin Hospital, Inc. Brookfield, WI other · outpatient | 1 | $43.93 | $43.93 – $43.93 |
| 13 | Ascension St. Francis Hospital, Inc. Milwaukee, WI other · outpatient | 1 | $43.93 | $43.93 – $43.93 |
| 14 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 11 | $24.51 | $19.78 – $40.22 |
| 15 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $340.21 | $71.70 – $527.18 |
| 16 | Aspirus Plover Hospital Stevens Point, WI fee schedule · outpatient | 3 | $340.21 | $71.70 – $527.18 |
| 17 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 2 | $340.21 | $71.70 – $527.18 |
| 18 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 2 | $105.44 | $70.29 – $140.58 |
| 19 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · outpatient | 2 | $340.21 | $71.70 – $527.18 |
| 20 | Aspirus Wausau Hospital Wausau, WI fee schedule · outpatient | 3 | $340.21 | $71.70 – $527.18 |
| 21 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · outpatient | 2 | $340.21 | $71.70 – $527.18 |
| 22 | Atrium Medical Center Middletown, OH fee schedule · outpatient | 3 | $128.45 | $70.29 – $214.50 |
| 23 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $89.25 | $89.25 – $89.25 |
| 24 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 3 | $73.50 | $63.00 – $89.25 |
| 25 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · inpatientfrom % of charges | 1 | $89.25 | $89.25 – $89.25 |
← Payers reporting CPT 87428 · Snapshot 20261108T203506Z-bb90dbab