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
St. Paul, MN
See all hospitals reporting CPT 87428 →Price type
Fairview Bethesda Hospital’s median price of $73 is about the same as the median hospital's median price ($73), higher than 52% 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, 23 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 | Sanford Health Plan medicare advantage fee schedule · outpatient | $69.17 | $69.17 | $69.17 – $69.17 |
| 2 | UnitedHealthcare medicare advantage fee schedule · outpatient | $69.17 | $69.17 | $69.17 – $69.17 |
| 3 | WellCare medicare advantage fee schedule · outpatient | $69.17 | $69.17 | $69.17 – $69.17 |
| 4 | Ucare medicare advantage/msho fee schedule · outpatient | $70.21 | $70.21 | $70.21 – $70.21 |
| 5 | Bcbs Mn aware federal fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 6 | Medica minnesota care/accessability/choice care government fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 7 | Bcbs Mn commercial fee schedule · both | $71.56 | $71.56 | $71.56 – $71.56 |
| 8 | Ucare pmap fee schedule · outpatient | $71.82 | $71.82 | $71.82 – $71.82 |
| 9 | Bcbs Mn medicare advantage fee schedule · outpatient | $71.94 | $71.94 | $71.94 – $71.94 |
| 10 | Medica medicare advantage fee schedule · outpatient | $73.32 | $73.32 | $73.32 – $73.32 |
| 11 | Ucare pmap fee schedule · both | $74.27 | $74.27 | $74.27 – $74.27 |
| 12 | Medica medicare advantage fee schedule · both | $74.51 | $75.10 | $74.51 – $76.27 |
| 13 | Medica msho fee schedule · both | $75.91 | $76.51 | $75.91 – $77.71 |
| 14 | Bcbs Mn managed medicaid fee schedule · both | $76.57 | $76.57 | $76.57 – $76.57 |
| 15 | Ucare individual and family with m health fairview fee schedule · outpatient | $121.67 | $121.67 | $121.67 – $121.67 |
| 16 | Medica bold fee schedule · both | $132.53 | $132.53 | $132.53 – $132.53 |
| 17 | Medica vantage si fee schedule · both | $143.58 | $143.58 | $143.58 – $143.58 |
| 18 | Medica city of st paul and essential/uplan fee schedule · both | $147.26 | $147.26 | $147.26 – $147.26 |
| 19 | Medica individual and family, elect fee schedule · both | $147.26 | $147.26 | $147.26 – $147.26 |
| 20 | Medica choice fee schedule · both | $152.39 | $152.39 | $152.39 – $152.39 |
| 21 | Ucare individual and family fee schedule · outpatient | $158.95 | $158.95 | $158.95 – $158.95 |
| 22 | UnitedHealthcare commercial fee schedule · both | $159.47 | $159.47 | $159.47 – $159.47 |
| 23 | UnitedHealthcare core fee schedule · both | $159.47 | $159.47 | $159.47 – $159.47 |
Last updated: Jan 29, 2026
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