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
Weston, FL
See all hospitals reporting CPT 87428 →Price type
Cleveland Clinic Weston Hospital Nonprofit Corporation’s median price of $73 is about the same as the median hospital's median price ($73), higher than 50% 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: 9 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 | Optum managed medicaid facility · case rate · outpatient | $25.65 | $25.65 | $25.65 – $25.65 |
| 2 | Medicaid managed medicaid facility · case rate · outpatient | $27.00 | $27.00 | $27.00 – $27.00 |
| 3 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $27.00 | $27.00 | $27.00 – $27.00 |
| 4 | Aetna managed medicaid/chip facility · case rate · outpatient | $32.40 | $32.40 | $32.40 – $32.40 |
| 5 | Aetna medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 6 | Blue Cross Blue Shield medicare advantage hmo facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 7 | Blue Cross Blue Shield medicare advantage ppo facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 8 | Humana medicare advantage hmo facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 10 | WellCare medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 11 | Devoted medicare advantage hmo facility · fee schedule · outpatient | $77.32 | $77.32 | $77.32 – $77.32 |
| 12 | Devoted medicare advantage ppo facility · fee schedule · outpatient | $77.32 | $77.32 | $77.32 – $77.32 |
| 13 | Aetna aetna signature administrators facility · fee schedule · outpatient | $79.37 | $79.37 | $79.37 – $79.37 |
| 14 | Cigna surefit facility · fee schedule · outpatient | $108.39 | $108.39 | $108.39 – $108.39 |
| 15 | Cigna individual family plan facility · fee schedule · outpatient | $109.30 | $109.30 | $109.30 – $109.30 |
| 16 | Cigna all products facility · fee schedule · outpatient | $117.45 | $117.45 | $117.45 – $117.45 |
Last updated: Jun 15, 2026
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