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
Alexandria, LA
See all hospitals reporting CPT 87428 →Price type
Central Louisiana Surgical Hospital’s median price of $72 is about the same as the median hospital's median price ($73), higher than 46% 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: 5 payers, 10 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 | Aetna better health medicaid fee schedule · outpatient | $23.21 | $23.21 | $23.21 – $23.21 |
| 2 | Amerihealth Caritas medicaid fee schedule · outpatient | $23.21 | $23.21 | $23.21 – $23.21 |
| 3 | Bcbs La medicare fee schedule · outpatient | $35.15 | $35.15 | $35.15 – $35.15 |
| 4 | Aetna better health medicare fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 5 | Bcbs La hmo fee schedule · outpatient | $73.49 | $73.49 | $73.49 – $73.49 |
| 6 | Bcbs La ppo fee schedule · outpatient | $73.49 | $73.49 | $73.49 – $73.49 |
| 7 | UnitedHealthcare all payer fee schedule · outpatient | $73.57 | $73.57 | $73.57 – $73.57 |
| 8 | Humana all plans fee schedule · outpatient | $165.18 | $165.18 | $165.18 – $165.18 |
| 9 | Aetna new business fee schedule · outpatient | $165.88 | $165.88 | $165.88 – $165.88 |
| 10 | Aetna commercial fee schedule · outpatient | $194.70 | $194.70 | $194.70 – $194.70 |
Last updated: Jan 8, 2026
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