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
Plainview, NE
See all hospitals reporting CPT 87428 →Price type
Alegent Creighton Health’s median price of $381 is 422% above the median hospital's median price ($73), higher than 99% 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, 23 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 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 2 | Humana medicare|all plans fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 3 | Medica medicare|all plans fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 4 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 5 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $258.05 | $258.05 | $258.05 – $258.05 |
| 6 | Blue Cross Blue Shield commercial|blueprint fee schedule · inpatient | $358.30 | $358.30 | $358.30 – $358.30 |
| 7 | Blue Cross Blue Shield commercial|blueprint fee schedule · outpatient | $358.30 | $358.30 | $358.30 – $358.30 |
| 8 | Medica commercial|all other plans fee schedule · inpatient | $361.27 | $361.27 | $361.27 – $361.27 |
| 9 | Medica commercial|all other plans fee schedule · outpatient | $361.27 | $361.27 | $361.27 – $361.27 |
| 10 | Medica commercial|chi health fee schedule · inpatient | $361.27 | $361.27 | $361.27 – $361.27 |
| 11 | Medica commercial|chi health fee schedule · outpatient | $361.27 | $361.27 | $361.27 – $361.27 |
| 12 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $377.15 | $377.15 | $377.15 – $377.15 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $377.15 | $377.15 | $377.15 – $377.15 |
| 14 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $377.15 | $377.15 | $377.15 – $377.15 |
| 15 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $377.15 | $377.15 | $377.15 – $377.15 |
| 16 | Medica commercial|aco fee schedule · inpatient | $381.12 | $381.12 | $381.12 – $381.12 |
| 17 | Medica commercial|aco fee schedule · outpatient | $381.12 | $381.12 | $381.12 – $381.12 |
| 18 | Medica commercial|open access fee schedule · inpatient | $381.12 | $381.12 | $381.12 – $381.12 |
| 19 | Medica commercial|open access fee schedule · outpatient | $381.12 | $381.12 | $381.12 – $381.12 |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $389.06 | $389.06 | $389.06 – $389.06 |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $389.06 | $389.06 | $389.06 – $389.06 |
| 22 | Phcs commercial|all plans fee schedule · inpatient | $389.06 | $389.06 | $389.06 – $389.06 |
| 23 | Phcs commercial|all plans fee schedule · outpatient | $389.06 | $389.06 | $389.06 – $389.06 |
Last updated: Feb 28, 2026
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