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 Sanford Health Plan 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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47 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $121.06 | $82.08 – $170.92 |
| 2 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 2 | $90.67 | $68.88 – $112.46 |
| 3 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 2 | $90.67 | $68.88 – $112.46 |
| 4 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 2 | $232.33 | $226.37 – $238.28 |
| 5 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $232.33 | $226.37 – $238.28 |
| 6 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 2 | $232.33 | $226.37 – $238.28 |
| 7 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 2 | $232.33 | $226.37 – $238.28 |
| 8 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 1 | $69.17 | $69.17 – $69.17 |
| 9 | Fairview Health Services Edina, MN fee schedule · outpatient | 1 | $69.17 | $69.17 – $69.17 |
| 10 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 1 | $69.17 | $69.17 – $69.17 |
| 11 | Fairview Health Services Burnsville, MN fee schedule · outpatient | 1 | $69.17 | $69.17 – $69.17 |
| 12 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 1 | $69.17 | $69.17 – $69.17 |
| 13 | Fairview Health Services Princeton, MN fee schedule · outpatient | 1 | $69.17 | $69.17 – $69.17 |
| 14 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · fee schedule · outpatient | 1 | $69.17 | $69.17 – $69.17 |
| 15 | HealthEast St John's Hospital Maplewood, MN fee schedule · outpatient | 1 | $69.17 | $69.17 – $69.17 |
| 16 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · outpatient | 1 | $69.17 | $69.17 – $69.17 |
| 17 | MERCY MEDICAL CENTER Williston, ND fee schedule · inpatient | 1 | $89.99 | $89.99 – $89.99 |
| 18 | MERCY MEDICAL CENTER Williston, ND fee schedule · outpatient | 1 | $89.99 | $89.99 – $89.99 |
| 19 | Mahnomen Health Center Mahnomen, MN facility · case rate · outpatient | 1 | $70.29 | $70.29 – $70.29 |
| 20 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 2 | $90.67 | $68.88 – $112.46 |
| 21 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 2 | $90.67 | $68.88 – $112.46 |
| 22 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · inpatient | 2 | $90.67 | $68.88 – $112.46 |
| 23 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · outpatient | 2 | $90.67 | $68.88 – $112.46 |
| 24 | Nelson County Health System Hospital Michigan, ND facility · fee schedule · both | 1 | $175.75 | $175.75 – $175.75 |
| 25 | Pembina County Memorial Hospital Association Cavalier, ND facility · fee schedule · both | 1 | $69.27 | $69.27 – $69.27 |
← Payers reporting CPT 87428 · Snapshot 20261108T203506Z-bb90dbab