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
Maryville, IL
See all hospitals reporting CPT 87428 →Price type
Anderson Hospital’s median price of $69 is 6% below the median hospital's median price ($73), higher than 13% 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: 7 payers, 12 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 | Tricare tricare facility · fee schedule · outpatient | $65.72 | $65.72 | $65.72 – $65.72 |
| 2 | Tricare tricare professional · other · outpatient | $67.07 | $67.07 | $67.07 – $67.07 |
| 3 | Aetna aetna medicare facility · fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 4 | Humana humana medicare facility · fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 5 | Humana humana medicare professional · other · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 6 | Medicare medicare facility · fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 7 | Medicare medicare professional · other · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 8 | UnitedHealthcare united healthcare government facility · other · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 9 | UnitedHealthcare united healthcare government professional · other · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 10 | Devoted devoted health ppo facility · fee schedule · outpatient | $70.26 | $70.26 | $70.26 – $70.26 |
| 11 | Ambetter ambetter facility · fee schedule · outpatient | $101.92 | $101.92 | $101.92 – $101.92 |
| 12 | Aetna aetna/coventry facility · fee schedule · outpatient | $108.95 | $108.95 | $108.95 – $108.95 |
Last updated: Feb 6, 2026
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