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
Devils Lake, ND
See all hospitals reporting CPT 87428 →Price type
Altru Hospital Devils Lake’s median price of $70 is 4% below the median hospital's median price ($73), higher than 17% 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, 9 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 medicaid managed care plan facility · fee schedule · outpatient | $23.86 | $23.86 | $23.86 – $23.86 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $23.86 | $23.86 | $23.86 – $23.86 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $43.10 | $43.10 | $43.10 – $43.10 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $70.19 | $70.19 | $70.19 – $70.19 |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 6 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $100.16 | $100.16 | $73.80 – $126.52 |
| 8 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $103.97 | $103.97 | $70.29 – $137.64 |
| 9 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $110.18 | $121.06 | $82.08 – $170.92 |
Last updated: Mar 1, 2026
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