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
Calhoun, GA
See all hospitals reporting CPT 87428 →Price type
Adventhealth Gordon’s median price of $100 is 37% above the median hospital's median price ($73), higher than 81% 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: 4 payers, 6 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 | Cigna medicare managed care plan fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 2 | Aetna medicare managed care plan fee schedule · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 3 | Blue Cross Blue Shield medicare managed care plan fee schedule · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 4 | Blue Cross Blue Shield hmo fee schedule · outpatient | $100.12 | $100.12 | $100.12 – $100.12 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $110.43 | $110.43 | $110.43 – $110.43 |
| 6 | Oscar individual plan hmo exchange fee schedule · outpatient | $139.31 | $139.31 | $139.31 – $139.31 |
Last updated: Apr 1, 2026
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