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
Jonesboro, AR
See all hospitals reporting CPT 87428 →Price type
Baptist Memorial Hospital-NEA’s median price of $105 is 44% above the median hospital's median price ($73), higher than 82% 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, 22 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 | $30.90 | $30.90 | $30.90 – $30.90 |
| 2 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $30.94 | $30.94 | $30.94 – $30.94 |
| 3 | Blue Cross Blue Shield trueblue exchange ppo/trueblue non-exchange ppo facility · fee schedule · outpatient | $30.94 | $30.94 | $30.94 – $30.94 |
| 4 | Blue Cross Blue Shield trueblue individual metallic-level plan facility · fee schedule · outpatient | $30.94 | $30.94 | $30.94 – $30.94 |
| 5 | Blue Cross Blue Shield medi-pak facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 6 | Cigna healthspring facility · fee schedule · outpatient | $70.99 | $70.99 | $70.99 – $70.99 |
| 7 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 8 | Devoted medicare facility · fee schedule · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 9 | UnitedHealthcare medicare facility · fee schedule · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 10 | Aetna medicare facility · fee schedule · outpatient | $73.80 | $73.80 | $73.80 – $73.80 |
| 11 | Humana medicare facility · fee schedule · outpatient | $73.80 | $73.80 | $73.80 – $73.80 |
| 12 | Caresource medicaid facility · fee schedule · outpatient | $75.69 | $75.69 | $75.69 – $75.69 |
| 13 | Aetna pho facility · fee schedule · outpatient | $105.44 | $105.44 | $105.44 – $105.44 |
| 14 | Humana pho facility · percent of total billed charges · inpatientfrom % of charges | $125.25 | $125.25 | $125.25 – $125.25 |
| 15 | Aetna workers compensation facility · fee schedule · outpatient | $133.55 | $133.55 | $133.55 – $133.55 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $150.30 | $150.30 | $150.30 – $150.30 |
| 17 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $215.43 | $215.43 | $215.43 – $215.43 |
| 18 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $238.98 | $238.98 | $238.98 – $238.98 |
| 19 | Blue Cross Blue Shield medicare facility · percent of total billed charges · inpatientfrom % of charges | $300.60 | $300.60 | $300.60 – $300.60 |
| 20 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $325.65 | $325.65 | $325.65 – $325.65 |
| 21 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $350.70 | $350.70 | $350.70 – $350.70 |
| 22 | Humana pho facility · percent of total billed charges · outpatientfrom % of charges | $375.75 | $375.75 | $375.75 – $375.75 |
Last updated: Feb 27, 2026
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