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
San Antonio, TX
See all hospitals reporting CPT 87428 →Price type
Bexar County Hospital District’s median price of $70 is 4% below the median hospital's median price ($73), higher than 17% 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, 16 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 | First Health managed medicaid fee schedule · outpatient | $28.46 | $28.46 | $28.46 – $28.46 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $28.46 | $28.46 | $28.46 – $28.46 |
| 3 | Superior Healthplan managed medicaid fee schedule · outpatient | $29.31 | $29.31 | $29.31 – $29.31 |
| 4 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $29.89 | $29.89 | $28.46 – $31.31 |
| 5 | Molina managed medicaid fee schedule · outpatient | $30.17 | $30.17 | $30.17 – $30.17 |
| 6 | Aetna Better Health managed medicaid and chip fee schedule · outpatient | $34.15 | $34.15 | $34.15 – $34.15 |
| 7 | Aetna medicare advantage fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 8 | First Health medicare advantage fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 9 | Humana medicare advantage fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 10 | MultiPlan medicare advantage fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 11 | Superior Healthplan medicare advantage fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 12 | UnitedHealthcare medicare advantage fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 13 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 14 | Molina medicare advantage fee schedule · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 15 | WellCare medicare advantage fee schedule · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 16 | Molina commercial fee schedule · outpatient | $112.46 | $112.46 | $112.46 – $112.46 |
Last updated: Oct 14, 2025
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