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 A&B AG IA
Washington Court House, OH
See all hospitals reporting CPT 87428 →Price type
Adena Fayette Medical Center’s median price of $141 is 93% above the median hospital's median price ($73), higher than 93% of the 1,734 hospitals reporting CPT 87428. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 7 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Anthem blue preferred/blue access facility · fee schedule · outpatient | $30.95 | $30.95 | $30.95 – $30.95 |
| 2 | Anthem hmo/ppo facility · fee schedule · outpatient | $30.95 | $30.95 | $30.95 – $30.95 |
| 3 | Anthem traditional facility · fee schedule · outpatient | $30.95 | $30.95 | $30.95 – $30.95 |
| 4 | Caresource commercial facility · case rate · outpatient | $140.58 | $140.58 | $140.58 – $140.58 |
| 5 | Molina commercial facility · case rate · outpatient | $144.09 | $144.09 | $144.09 – $144.09 |
| 6 | Aetna commercial facility · fee schedule · outpatient | $158.00 | $158.00 | $158.00 – $158.00 |
| 7 | First Health commercial facility · fee schedule · outpatient | $158.00 | $158.00 | $158.00 – $158.00 |
Last updated: Aug 19, 2026
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