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
Westminster, CO
See all hospitals reporting CPT 87428 →Price type
Catholic Health Iniatives Colorado’s median price of $69 is 6% below the median hospital's median price ($73), higher than 13% 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: 9 payers, 11 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 managed medicare fee schedule · outpatient | $68.18 | $68.18 | $68.18 – $68.18 |
| 2 | Aetna managed medicare fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 3 | Anthem managed medicare fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 4 | Cigna managed medicare fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 5 | Devoted managed medicare fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 6 | Humana managed medicare fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 7 | Kaiser managed medicare fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 8 | Medicare medicare fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 9 | Optum managed medicare fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 10 | Aetna commercial whole health fee schedule · outpatient | $162.85 | $162.85 | $162.85 – $162.85 |
| 11 | Aetna commercial ppo/pos/hmo fee schedule · outpatient | $194.02 | $194.02 | $184.46 – $203.57 |
Last updated: Feb 4, 2026
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