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
Saginaw, MI
See all hospitals reporting CPT 87428 →Price type
Covenant Medical Center Inc’s median price of $50 is 32% below the median hospital's median price ($73), higher than 4% 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, 9 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 | Bcbs Mi managed medicaid facility · case rate · outpatient | $36.76 | $36.76 | $36.76 – $36.76 |
| 2 | Molina managed medicaid facility · case rate · outpatient | $36.76 | $36.76 | $36.76 – $36.76 |
| 3 | Anthem commercial facility · fee schedule · outpatient | $46.52 | $46.52 | $46.52 – $46.52 |
| 4 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $46.52 | $46.52 | $46.52 – $46.52 |
| 5 | Anthem commercial professional · fee schedule · both | $50.00 | $50.00 | $50.00 – $50.00 |
| 6 | Blue Cross Blue Shield commercial professional · fee schedule · both | $50.00 | $50.00 | $50.00 – $50.00 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 8 | Humana ppo medicare advantage facility · case rate · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 9 | Molina medicare advantage facility · case rate · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
Last updated: May 15, 2026
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