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
Kosciusko, MS
See all hospitals reporting CPT 87428 →Price type
Baptist Medical Center-Attala’s median price of $316 is 332% above the median hospital's median price ($73), higher than 99% 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: 10 payers, 19 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 | UnitedHealthcare commercial facility · fee schedule · outpatient | $66.21 | $66.21 | $66.21 – $66.21 |
| 2 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 3 | Molina medicaid facility · fee schedule · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 4 | Molina chip facility · fee schedule · outpatient | $123.01 | $123.01 | $123.01 – $123.01 |
| 5 | Tricare tricare facility · percent of total billed charges · outpatientfrom % of charges | $166.58 | $166.58 | $166.58 – $166.58 |
| 6 | Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges | $178.86 | $178.86 | $178.86 – $178.86 |
| 7 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $180.61 | $180.61 | $180.61 – $180.61 |
| 8 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $184.12 | $184.12 | $184.12 – $184.12 |
| 9 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $184.12 | $184.12 | $184.12 – $184.12 |
| 10 | Humana medicare pho facility · percent of total billed charges · outpatientfrom % of charges | $184.12 | $184.12 | $184.12 – $184.12 |
| 11 | WellCare medicare facility · percent of total billed charges · outpatientfrom % of charges | $184.12 | $184.12 | $184.12 – $184.12 |
| 12 | Molina exchange facility · percent of total billed charges · outpatientfrom % of charges | $324.40 | $324.40 | $324.40 – $324.40 |
| 13 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $350.70 | $350.70 | $350.70 – $350.70 |
| 14 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $350.70 | $350.70 | $350.70 – $350.70 |
| 15 | MultiPlan mpi primary network facility · percent of total billed charges · inpatientfrom % of charges | $350.70 | $350.70 | $350.70 – $350.70 |
| 16 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $350.70 | $350.70 | $350.70 – $350.70 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $435.87 | $435.87 | $435.87 – $435.87 |
| 18 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $450.90 | $450.90 | $450.90 – $450.90 |
| 19 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $450.90 | $450.90 | $450.90 – $450.90 |
Last updated: Feb 20, 2026
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