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
Clifton Springs, NY
See all hospitals reporting CPT 87428 →Price type
Clifton Springs Hospital And Clinic’s median price of $62 is 15% below the median hospital's median price ($73), higher than 8% 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: 8 payers, 14 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 | Molina essentials 1&2 facility · fee schedule · outpatient | $41.76 | $41.76 | $41.76 – $41.76 |
| 2 | Excellus medicaid government programs facility · fee schedule · outpatient | $42.60 | $42.60 | $42.60 – $42.60 |
| 3 | Excellus medicaid special programs facility · fee schedule · outpatient | $42.60 | $42.60 | $42.60 – $42.60 |
| 4 | Highmark commercial facility · fee schedule · outpatient | $58.62 | $58.62 | $58.62 – $58.62 |
| 5 | Excellus medicare advantage facility · fee schedule · outpatient | $60.45 | $60.45 | $60.45 – $60.45 |
| 6 | Cigna commercial individual exchange facility · fee schedule · outpatient | $61.86 | $61.86 | $61.86 – $61.86 |
| 7 | Cigna essential facility · fee schedule · outpatient | $61.86 | $61.86 | $61.86 – $61.86 |
| 8 | Cigna commercial facility · fee schedule · outpatient | $66.07 | $66.07 | $66.07 – $66.07 |
| 9 | Aetna medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 10 | Humana medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 11 | Tricare commercial facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 12 | Excellus commercial facility · fee schedule · outpatient | $75.21 | $75.21 | $75.21 – $75.21 |
| 13 | UnitedHealthcare commercial facility · fee schedule · outpatient | $84.35 | $84.35 | $84.35 – $84.35 |
| 14 | Aetna commercial facility · fee schedule · outpatient | $123.01 | $123.01 | $123.01 – $123.01 |
Last updated: Apr 1, 2026
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