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
Carmel, IN
See all hospitals reporting CPT 87428 →Price type
Ascension St. Vincent Heart Center’s median price of $25 is 65% below the median hospital's median price ($73), higher than 0% 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: 3 payers, 15 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 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient | $19.78 | $19.78 | $19.78 – $19.78 |
| 2 | Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient | $19.78 | $19.78 | $19.78 – $19.78 |
| 3 | Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient | $19.78 | $19.78 | $19.78 – $19.78 |
| 4 | Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient | $19.78 | $19.78 | $19.78 – $19.78 |
| 5 | Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient | $19.78 | $19.78 | $19.78 – $19.78 |
| 6 | Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient | $19.78 | $19.78 | $19.78 – $19.78 |
| 7 | Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient | $19.78 | $19.78 | $19.78 – $19.78 |
| 8 | Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient | $19.78 | $19.78 | $19.78 – $19.78 |
| 9 | Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · outpatient | $30.94 | $30.94 | $30.94 – $30.94 |
| 10 | Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · outpatient | $40.22 | $40.22 | $40.22 – $40.22 |
| 11 | Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · outpatient | $40.22 | $40.22 | $40.22 – $40.22 |
| 12 | UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both | $44.45 | $44.45 | $44.45 – $44.45 |
| 13 | UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both | $44.45 | $44.45 | $44.45 – $44.45 |
| 14 | Humana 8829_humana choice care network vein 20241001 fee schedule · outpatient | $70.54 | $70.54 | $70.54 – $70.54 |
| 15 | Humana 8830_humana choice care vein 20241001 fee schedule · outpatient | $70.54 | $70.54 | $70.54 – $70.54 |
Last updated: Jan 1, 2026
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