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
Brookfield, WI
See all hospitals reporting CPT 87428 →Price type
Ascension SE Wisconsin Hospital, Inc.’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: 2 payers, 2 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 | Anthem 1242_anthem pathways 20250101 other · outpatient | $43.93 | $43.93 | $43.93 – $43.93 |
| 2 | UnitedHealthcare 1282_united health care 20250701 fee schedule · outpatient | $91.96 | $91.96 | $91.96 – $91.96 |
Last updated: Jan 1, 2026
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