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
HC SARSCOV & INF VIR A&B AG IA
Des Moines, IA
See all hospitals reporting CPT 87428 →Price type
Central Iowa Hospital Corporation’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: 6 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 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $23.45 | $23.45 | $22.10 – $24.80 |
| 2 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $36.52 | $36.52 | $36.52 – $36.52 |
| 3 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $36.52 | $36.52 | $36.52 – $36.52 |
| 4 | UnitedHealthcare hmo fee schedule · both | $44.58 | $44.58 | $44.58 – $44.58 |
| 5 | UnitedHealthcare ppo fee schedule · both | $44.58 | $44.58 | $44.58 – $44.58 |
| 6 | UnitedHealthcare hmo fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 7 | UnitedHealthcare ppo fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 8 | Wellmark commercial fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 9 | Wellmark hmo fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 10 | Wellmark ppo fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 11 | Aetna medicare advantage case rate · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 12 | Molina medicare advantage case rate · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 13 | UnitedHealthcare medicare advantage case rate · outpatient | $73.80 | $73.80 | $73.80 – $73.80 |
| 14 | Cigna commercial fee schedule · both | $91.38 | $91.38 | $91.38 – $91.38 |
| 15 | Aetna hmo fee schedule · outpatient | $140.58 | $140.58 | $140.58 – $140.58 |
| 16 | Aetna ppo fee schedule · outpatient | $140.58 | $140.58 | $140.58 – $140.58 |
Last updated: Jan 28, 2026
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