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
Boulder, CO
See all hospitals reporting CPT 87428 →Price type
Boulder Community Health’s median price of $72 is 2% below the median hospital's median price ($73), higher than 41% 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, 20 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 | Anthem commercial professional · fee schedule · both | $20.77 | $20.77 | $20.77 – $20.77 |
| 2 | Anthem managed care professional · fee schedule · both | $20.77 | $20.77 | $20.77 – $20.77 |
| 3 | UnitedHealthcare commercial professional · fee schedule · both | $34.41 | $34.41 | $34.41 – $34.41 |
| 4 | UnitedHealthcare medicare advantage professional · fee schedule · both | $49.91 | $49.91 | $29.52 – $70.29 |
| 5 | UnitedHealthcare commercial facility · fee schedule · outpatient | $56.93 | $56.93 | $56.93 – $56.93 |
| 6 | Aetna medicare advantage facility · case rate · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 7 | Anthem medicare advantage facility · case rate · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 8 | Humana medicare advantage professional · fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 9 | Humana medicare advantage facility · case rate · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 10 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 11 | Kaiser medicare advantage facility · case rate · outpatient | $72.05 | $72.05 | $71.70 – $72.40 |
| 12 | Devoted medicare advantage facility · case rate · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 13 | Aetna medicare advantage professional · fee schedule · both | $73.49 | $73.49 | $73.49 – $73.49 |
| 14 | Anthem managed care facility · fee schedule · outpatient | $78.98 | $78.98 | $78.98 – $78.98 |
| 15 | Anthem commercial facility · fee schedule · outpatient | $76.64 | $97.03 | $67.48 – $202.10 |
| 16 | Aetna commercial professional · fee schedule · both | $105.83 | $105.83 | $73.49 – $138.16 |
| 17 | MultiPlan commercial professional · fee schedule · both | $110.36 | $110.36 | $110.36 – $110.36 |
| 18 | Phcs commercial professional · fee schedule · both | $110.36 | $110.36 | $110.36 – $110.36 |
| 19 | Kaiser commercial facility · case rate · outpatient | $153.38 | $153.38 | $134.82 – $171.93 |
| 20 | Kaiser managed care facility · case rate · outpatient | $170.26 | $170.26 | $170.26 – $170.26 |
Last updated: Sep 16, 2026
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