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 Tricare 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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216 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $40.00 | $40.00 – $40.00 |
| 2 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 9 | $67.17 | $56.23 – $70.29 |
| 3 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 2 | $76.12 | $76.12 – $76.12 |
| 4 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $57.25 | $57.25 – $57.25 |
| 5 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $30.59 | $30.59 – $30.59 |
| 6 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $30.59 | $30.59 – $30.59 |
| 7 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $30.59 | $30.59 – $30.59 |
| 8 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $30.59 | $30.59 – $30.59 |
| 9 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $30.59 | $30.59 – $30.59 |
| 10 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $30.59 | $30.59 – $30.59 |
| 11 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $65.72 | $65.72 – $65.72 |
| 12 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $67.07 | $67.07 – $67.07 |
| 13 | Ascension Providence Waco, TX other · inpatient | 1 | $70.29 | $70.29 – $70.29 |
| 14 | Ascension Providence Waco, TX other · outpatient | 1 | $70.29 | $70.29 – $70.29 |
| 15 | Ascension Seton Austin, TX other · inpatient | 1 | $70.29 | $70.29 – $70.29 |
| 16 | Ascension Seton Austin, TX other · inpatient | 1 | $70.29 | $70.29 – $70.29 |
| 17 | Ascension Seton Bastrop, TX other · inpatient | 1 | $70.29 | $70.29 – $70.29 |
| 18 | Ascension Seton Austin, TX other · inpatient | 1 | $70.29 | $70.29 – $70.29 |
| 19 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $166.58 | $166.58 – $166.58 |
| 20 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $161.82 | $161.82 – $161.82 |
| 21 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $161.82 | $161.82 – $161.82 |
| 22 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $204.66 | $204.66 – $204.66 |
| 23 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $61.66 | $61.66 – $61.66 |
| 24 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $61.66 | $61.66 – $61.66 |
| 25 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $30.59 | $30.59 – $30.59 |
← Payers reporting CPT 87428 · Snapshot 20261108T203506Z-bb90dbab