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
Arlington, TX
See all hospitals reporting CPT 87428 →Price type
AMH Cath Labs LLC’s median price of $72 is about the same as the median hospital's median price ($73), higher than 46% 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, 13 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 managed medicaid fee schedule · outpatient | $59.04 | $59.04 | $59.04 – $59.04 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $59.04 | $59.04 | $59.04 – $59.04 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $61.99 | $61.99 | $61.99 – $61.99 |
| 4 | Molina managed medicaid fee schedule · outpatient | $63.76 | $63.76 | $63.76 – $63.76 |
| 5 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 6 | Humana medicare advantage case rate · outpatient | $73.10 | $73.10 | $73.10 – $73.10 |
| 7 | Humana medicare advantage ppo case rate · outpatient | $73.10 | $73.10 | $73.10 – $73.10 |
| 8 | UnitedHealthcare ppo fee schedule · outpatient | $73.57 | $73.57 | $73.57 – $73.57 |
| 9 | Molina medicare advantage case rate · outpatient | $73.80 | $73.80 | $73.80 – $73.80 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $73.80 | $73.80 | $73.80 – $73.80 |
| 11 | WellCare medicare advantage mmp case rate · outpatient | $77.32 | $77.32 | $77.32 – $77.32 |
| 12 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $78.02 | $78.02 | $78.02 – $78.02 |
| 13 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $79.43 | $79.43 | $79.43 – $79.43 |
Last updated: Apr 21, 2026
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