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
HC IAAD IA SARSCOV & INFLUENZA VIRUS TYPES A&B
Brenham, TX
See all hospitals reporting CPT 87428 →Price type
Baylor Scott & White Medical Center - Brenham’s median price of $48 is 34% below the median hospital's median price ($73), higher than 4% 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, 23 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 | Baylor Scott White Health Plan medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $10.29 | $10.29 | $10.29 – $10.29 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $11.38 | $11.38 | $11.38 – $11.38 |
| 3 | Superior Healthplan medicare hmo/medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $11.38 | $11.38 | $11.38 – $11.38 |
| 4 | UnitedHealthcare commercial facility · fee schedule · outpatient | $12.00 | $12.00 | $12.00 – $12.00 |
| 5 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $12.14 | $12.14 | $12.14 – $12.14 |
| 6 | Baylor Scott White Health Plan bsw premier - small group facility · percent of total billed charges · outpatientfrom % of charges | $13.00 | $13.00 | $13.00 – $13.00 |
| 7 | Baylor Scott White Health Plan bsw premier - individual facility · percent of total billed charges · outpatientfrom % of charges | $13.60 | $13.60 | $13.60 – $13.60 |
| 8 | Baylor Scott White Health Plan bsw plus - small group facility · percent of total billed charges · outpatientfrom % of charges | $19.50 | $19.50 | $19.50 – $19.50 |
| 9 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $41.84 | $41.84 | $41.84 – $41.84 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $45.84 | $45.84 | $45.84 – $45.84 |
| 11 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $49.18 | $49.18 | $49.18 – $49.18 |
| 12 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $58.34 | $58.34 | $58.34 – $58.34 |
| 13 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $58.34 | $58.34 | $58.34 – $58.34 |
| 14 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $58.34 | $58.34 | $58.34 – $58.34 |
| 15 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $66.68 | $66.68 | $66.68 – $66.68 |
| 16 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $66.68 | $66.68 | $66.68 – $66.68 |
| 17 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $103.04 | $103.04 | $103.04 – $103.04 |
| 18 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $127.33 | $127.33 | $127.33 – $127.33 |
| 19 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $149.80 | $149.80 | $149.80 – $149.80 |
| 20 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $159.96 | $159.96 | $159.96 – $159.96 |
| 21 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $162.13 | $162.13 | $162.13 – $162.13 |
| 22 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $185.33 | $185.33 | $185.33 – $185.33 |
| 23 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $195.23 | $195.23 | $195.23 – $195.23 |
Last updated: Jun 12, 2026
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