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
Keene, NH
See all hospitals reporting CPT 87428 →Price type
Cheshire Medical Center’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: 7 payers, 27 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 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $5.00 | $5.00 | $5.00 – $5.00 |
| 2 | Cigna cigna ppo professional · fee schedule · outpatient | $5.00 | $5.00 | $5.00 – $5.00 |
| 3 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · fee schedule · outpatient | $62.02 | $62.02 | $62.02 – $62.02 |
| 4 | UnitedHealthcare uhc - freedom plan facility · fee schedule · outpatient | $63.26 | $63.26 | $63.26 – $63.26 |
| 5 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $63.59 | $63.59 | $63.59 – $63.59 |
| 6 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 7 | Anthem anthem - medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 8 | Anthem anthem indiv qhp - exchange facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 9 | Bcbs Vt bcbs of vermont - medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 10 | Cigna cigna medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 11 | UnitedHealthcare uhc - medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 12 | UnitedHealthcare uhc - va community care network facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 13 | WellCare wellcare - medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 14 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 15 | Aetna aetna hmo/pos/ppo professional · fee schedule · outpatient | $73.49 | $73.49 | $73.49 – $73.49 |
| 16 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $78.49 | $78.49 | $78.49 – $78.49 |
| 17 | Bcbs Vt bcbs of vermont - vermont health partnership professional · fee schedule · outpatient | $78.49 | $78.49 | $78.49 – $78.49 |
| 18 | Bcbs Vt bcbs of vermont non-managed care plans professional · fee schedule · outpatient | $78.49 | $78.49 | $78.49 – $78.49 |
| 19 | Anthem anthem shop on exch facility · fee schedule · outpatient | $98.41 | $98.41 | $98.41 – $98.41 |
| 20 | Anthem anthem - indemnity professional · fee schedule · outpatient | $163.46 | $163.46 | $163.46 – $163.46 |
| 21 | UnitedHealthcare uhc - freedom plan professional · fee schedule · outpatient | $168.22 | $168.22 | $168.22 – $168.22 |
| 22 | Aetna aetna hmo/pos/ppo facility · fee schedule · outpatient | $172.98 | $172.98 | $172.98 – $172.98 |
| 23 | Cigna cigna hmo-pos facility · fee schedule · outpatient | $220.68 | $220.68 | $220.68 – $220.68 |
| 24 | Cigna cigna ppo facility · fee schedule · outpatient | $220.68 | $220.68 | $220.68 – $220.68 |
| 25 | Anthem anthem - indemnity facility · fee schedule · outpatient | $397.27 | $397.27 | $397.27 – $397.27 |
Last updated: Jan 1, 2026
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