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
Butler, PA
See all hospitals reporting CPT 87428 →Price type
Butler Healthcare Providers_ DBA Butler Memorial Hospital’s median price of $103 is 41% 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, 25 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 | Highmark chip facility · percent of total billed charges · outpatientfrom % of charges | $48.06 | $48.06 | $48.06 – $48.06 |
| 2 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $48.06 | $48.06 | $48.06 – $48.06 |
| 3 | Highmark mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $48.06 | $48.06 | $48.06 – $48.06 |
| 4 | Tricare tricare facility · fee schedule · outpatient | $65.23 | $65.23 | $65.23 – $65.23 |
| 5 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $71.00 | $71.00 | $70.29 – $71.70 |
| 6 | Aetna mcr advantage facility · fee schedule · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 7 | Humana mcr advantage facility · fee schedule · outpatient | $73.10 | $73.10 | $73.10 – $73.10 |
| 8 | Devoted mcr advantage facility · fee schedule · outpatient | $74.51 | $74.51 | $74.51 – $74.51 |
| 9 | Aetna auto network facility · fee schedule · outpatient | $77.32 | $77.32 | $77.32 – $77.32 |
| 10 | UnitedHealthcare commercial facility · fee schedule · outpatient | $84.35 | $84.35 | $84.35 – $84.35 |
| 11 | Highmark chip facility · fee schedule · outpatient | $88.31 | $88.31 | $88.31 – $88.31 |
| 12 | Devoted mcr advantage facility · percent of total billed charges · inpatientfrom % of charges | $102.80 | $102.80 | $102.80 – $102.80 |
| 13 | Devoted mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $102.80 | $102.80 | $102.80 – $102.80 |
| 14 | Cigna commercial facility · fee schedule · outpatient | $105.44 | $105.44 | $105.44 – $105.44 |
| 15 | Highmark mcr advantage facility · fee schedule · outpatient | $116.82 | $116.82 | $68.88 – $164.75 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $128.50 | $128.50 | $128.50 – $128.50 |
| 17 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $128.50 | $128.50 | $128.50 – $128.50 |
| 18 | Highmark commercial facility · fee schedule · outpatient | $145.36 | $128.76 | $92.65 – $148.27 |
| 19 | Aetna hmo facility · fee schedule · outpatient | $161.67 | $161.67 | $161.67 – $161.67 |
| 20 | Aetna rental network facility · percent of total billed charges · outpatientfrom % of charges | $167.05 | $167.05 | $167.05 – $167.05 |
| 21 | Aetna rental network facility · fee schedule · outpatient | $190.34 | $190.34 | $190.34 – $190.34 |
| 22 | Aetna commercial facility · fee schedule · outpatient | $195.50 | $195.50 | $195.50 – $195.50 |
| 23 | Aetna auto network facility · percent of total billed charges · outpatientfrom % of charges | $205.60 | $205.60 | $205.60 – $205.60 |
| 24 | MultiPlan percent of charge facility · percent of total billed charges · inpatientfrom % of charges | $231.30 | $231.30 | $231.30 – $231.30 |
| 25 | MultiPlan percent of charge facility · percent of total billed charges · outpatientfrom % of charges | $231.30 | $231.30 | $231.30 – $231.30 |
Last updated: Jan 1, 2026
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