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
Booneville, MS
See all hospitals reporting CPT 87428 →Price type
Baptist Memorial Hospital-Booneville’s median price of $127 is 73% above the median hospital's median price ($73), higher than 90% 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: 8 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 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 2 | Humana behavioral health facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 3 | Devoted medicare facility · fee schedule · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 4 | Molina medicaid facility · fee schedule · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 5 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 6 | Humana medicare facility · fee schedule · outpatient | $72.40 | $72.40 | $70.99 – $73.80 |
| 7 | Aetna medicare facility · fee schedule · outpatient | $73.80 | $73.80 | $73.80 – $73.80 |
| 8 | Molina chip facility · fee schedule · outpatient | $123.01 | $123.01 | $123.01 – $123.01 |
| 9 | Molina exchange facility · fee schedule · outpatient | $130.04 | $130.04 | $130.04 – $130.04 |
| 10 | Molina exchange facility · percent of total billed charges · inpatientfrom % of charges | $250.50 | $250.50 | $250.50 – $250.50 |
| 11 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $275.55 | $275.55 | $275.55 – $275.55 |
| 12 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $275.55 | $275.55 | $275.55 – $275.55 |
| 13 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $300.60 | $300.60 | $300.60 – $300.60 |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $313.63 | $313.63 | $313.63 – $313.63 |
| 15 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $330.66 | $330.66 | $330.66 – $330.66 |
| 16 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $330.66 | $330.66 | $330.66 – $330.66 |
| 17 | UnitedHealthcare chip facility · percent of total billed charges · outpatientfrom % of charges | $330.66 | $330.66 | $330.66 – $330.66 |
| 18 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $375.75 | $375.75 | $375.75 – $375.75 |
| 19 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $375.75 | $375.75 | $375.75 – $375.75 |
| 20 | MultiPlan mpi primary network facility · percent of total billed charges · inpatientfrom % of charges | $375.75 | $375.75 | $375.75 – $375.75 |
| 21 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $375.75 | $375.75 | $375.75 – $375.75 |
Last updated: Feb 25, 2026
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