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
Clarion, PA
See all hospitals reporting CPT 87428 →Price type
Clarion Hospital’s median price of $76 is 4% above the median hospital's median price ($73), higher than 66% 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, 18 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 | Highmark chip facility · percent of total billed charges · outpatientfrom % of charges | $64.60 | $64.60 | $64.60 – $64.60 |
| 2 | Highmark mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $64.60 | $64.60 | $64.60 – $64.60 |
| 3 | Tricare tricare facility · fee schedule · outpatient | $65.23 | $65.23 | $65.23 – $65.23 |
| 4 | Cigna commercial facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 5 | UnitedHealthcare commercial facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 6 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 7 | Aetna mcr advantage facility · fee schedule · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 8 | Devoted mcr advantage facility · fee schedule · outpatient | $74.51 | $74.51 | $74.51 – $74.51 |
| 9 | Devoted mcr advantage facility · percent of total billed charges · inpatientfrom % of charges | $76.00 | $76.00 | $76.00 – $76.00 |
| 10 | Devoted mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $76.00 | $76.00 | $76.00 – $76.00 |
| 11 | Aetna auto network facility · fee schedule · outpatient | $77.32 | $77.32 | $77.32 – $77.32 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $95.00 | $95.00 | $95.00 – $95.00 |
| 13 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $95.00 | $95.00 | $95.00 – $95.00 |
| 14 | Highmark mcr advantage facility · fee schedule · outpatient | $70.01 | $99.14 | $69.59 – $157.83 |
| 15 | Highmark chip facility · fee schedule · outpatient | $116.61 | $116.61 | $116.61 – $116.61 |
| 16 | Aetna hmo facility · fee schedule · outpatient | $161.67 | $161.67 | $161.67 – $161.67 |
| 17 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $169.10 | $169.10 | $169.10 – $169.10 |
| 18 | Aetna commercial facility · fee schedule · outpatient | $196.07 | $196.07 | $196.07 – $196.07 |
Last updated: Jan 1, 2026
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