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
HC SARSCOV & INF VIR A&B AG IA
Papillion, NE
See all hospitals reporting CPT 87428 →Price type
Alegent Creighton Health’s median price of $76 is 4% above the median hospital's median price ($73), higher than 66% 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: 6 payers, 14 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 | Medica commercial|chi health fee schedule · outpatient | $59.79 | $59.79 | $59.79 – $59.79 |
| 2 | Medica commercial|all other plans fee schedule · outpatient | $62.61 | $62.61 | $62.61 – $62.61 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 5 | Medica medicare|all plans fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 7 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $75.60 | $75.60 | $75.60 – $75.60 |
| 8 | Medica commercial|aco fee schedule · outpatient | $147.61 | $147.61 | $147.61 – $147.61 |
| 9 | Medica commercial|open access fee schedule · outpatient | $218.40 | $218.40 | $218.40 – $218.40 |
| 10 | Phcs commercial|all plans fee schedule · inpatient | $298.20 | $298.20 | $298.20 – $298.20 |
| 11 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $310.80 | $310.80 | $310.80 – $310.80 |
| 12 | Phcs commercial|all plans fee schedule · outpatient | $315.00 | $315.00 | $315.00 – $315.00 |
| 13 | MultiPlan commercial|all plans fee schedule · inpatient | $357.00 | $357.00 | $357.00 – $357.00 |
| 14 | MultiPlan commercial|all plans fee schedule · outpatient | $357.00 | $357.00 | $357.00 – $357.00 |
Last updated: Feb 28, 2026
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