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
POC COVID, INFLU A & B PNL FIA
Two Rivers, WI
See all hospitals reporting CPT 87428 →Price type
Aurora Medical Center Manitowoc’s median price of $79 is 8% above the median hospital's median price ($73), higher than 69% 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: 6 payers, 21 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 blue priority percent of total billed charges · outpatientfrom % of charges | $63.00 | $63.00 | $63.00 – $63.00 |
| 2 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $63.00 | $63.00 | $63.00 – $63.00 |
| 3 | UnitedHealthcare charter fee schedule · outpatient | $65.54 | $65.54 | $65.54 – $65.54 |
| 4 | UnitedHealthcare exchange fee schedule · outpatient | $65.54 | $65.54 | $65.54 – $65.54 |
| 5 | UnitedHealthcare hmo fee schedule · outpatient | $65.54 | $65.54 | $65.54 – $65.54 |
| 6 | UnitedHealthcare nexus fee schedule · outpatient | $65.54 | $65.54 | $65.54 – $65.54 |
| 7 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $68.25 | $68.25 | $68.25 – $68.25 |
| 8 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $78.75 | $78.75 | $78.75 – $78.75 |
| 9 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $78.75 | $78.75 | $78.75 – $78.75 |
| 10 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $78.75 | $78.75 | $78.75 – $78.75 |
| 11 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $86.73 | $86.73 | $86.73 – $86.73 |
| 12 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $86.73 | $86.73 | $86.73 – $86.73 |
| 13 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $88.41 | $88.41 | $88.41 – $88.41 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $88.41 | $88.41 | $88.41 – $88.41 |
| 15 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $88.83 | $88.83 | $88.83 – $88.83 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $88.83 | $88.83 | $88.83 – $88.83 |
| 17 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $89.25 | $89.25 | $89.25 – $89.25 |
| 18 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $89.25 | $89.25 | $89.25 – $89.25 |
| 19 | Cigna ppo-gppo fee schedule · outpatient | $137.07 | $137.07 | $137.07 – $137.07 |
| 20 | Aetna hmo fee schedule · outpatient | $156.75 | $156.75 | $156.75 – $156.75 |
| 21 | Molina commercial fee schedule · outpatient | $194.00 | $194.00 | $194.00 – $194.00 |
Last updated: Nov 21, 2025
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