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
Lehi, UT
See all hospitals reporting CPT 87428 →Price type
Catholic Health Initiatives 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: 3 payers, 5 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 | Molina managed medicaid fee schedule · outpatient | $59.74 | $59.74 | $59.74 – $59.74 |
| 2 | Humana managed medicare fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 3 | Medicare managed medicare fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 4 | Medicare medicare fee schedule · outpatient | $68.88 | $68.88 | $68.88 – $68.88 |
| 5 | Molina commercial ppo/pos/hmo fee schedule · outpatient | $143.28 | $143.28 | $143.28 – $143.28 |
Last updated: Feb 11, 2026
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