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HCPCS 87428

Sarscov & inf vir a&b ag ia

Reported by 251 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$49

Average

$109

Median

$93

High

$462

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$24$93$124$272$78
2Northwest Texas Healthcare System, Inc.Amarillo, TX—$75$97—$53
3Northwest Texas Healthcare SystemAmarillo, TX—$75$97—$53
4Manatee Memorial HospitalBradenton, FL—$99$274—$267
5Lakewood RanchLakewood Ranch, FL—$99$417—$463
6Northwest Texas Healthcare System, Inc.Amarillo, TX—$75$97—$53
7St Joseph’s Health Services IncHillsboro, WI$19$108$147$278$81
8Gundersen Luthern Medical Center IncLa Crosse, WI$19$70$188$1.1k$349
9Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$19$194$167$267$106
10Saint Elizabeth’s Hospital of Wabasha IncWabasha, MN$70$70$149$267$96
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