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 Wellmark 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.
Filter by billing methodology
Filter by billing class
69 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $238.20 | $238.20 – $238.20 |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $226.29 | $226.29 – $226.29 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $71.70 | $71.70 – $71.70 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $70.29 | $70.29 – $70.29 |
| 5 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 3 | $70.11 | $69.57 – $70.29 |
| 6 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 3 | $70.11 | $69.57 – $70.29 |
| 7 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $71.70 | $71.70 – $71.70 |
| 8 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $70.29 | $70.29 – $70.29 |
| 9 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $70.29 | $70.29 – $70.29 |
| 10 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $71.70 | $71.70 – $71.70 |
| 11 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $70.29 | $70.29 – $70.29 |
| 12 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $115.91 | $110.49 – $121.32 |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $69.57 | $69.57 – $69.57 |
| 14 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 3 | $70.11 | $69.57 – $70.29 |
| 15 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 3 | $70.11 | $69.57 – $70.29 |
| 16 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $98.98 | $98.98 – $98.98 |
| 17 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · inpatient | 3 | $70.11 | $69.57 – $70.29 |
| 18 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · outpatient | 3 | $70.11 | $69.57 – $70.29 |
| 19 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $127.91 | $127.91 – $127.91 |
| 20 | MercyOne Genesis Davenport Medical Center IA 52803; 2140 53rd Avenue Bettendorf, IA facility · fee schedule · outpatient | 1 | $63.59 | $63.59 – $63.59 |
| 21 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $70.29 | $70.29 – $70.29 |
| 22 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $47.23 | $47.23 – $47.23 |
| 23 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · fee schedule · outpatient | 1 | $63.59 | $63.59 – $63.59 |
| 24 | Meriter Hospital, Inc Madison, WI case rate · outpatient | 1 | $70.29 | $70.29 – $70.29 |
| 25 | Meriter Hospital, Inc Madison, WI percent of total billed charges · bothfrom % of charges | 1 | $63.75 | $63.75 – $63.75 |
← Payers reporting CPT 87428 · Snapshot 20261108T203506Z-bb90dbab