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
Wyoming, MN
See all hospitals reporting CPT 87428 →Price type
Fairview Health Services’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, 35 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 managed medicaid/accessability fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 7 | Bcbs Mn aware/blue plus 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 | Bcbs Mn aware federal fee schedule · outpatient | $72.76 | $72.76 | $72.76 – $72.76 |
| 11 | Medica medicare advantage non-snp fee schedule · outpatient | $73.32 | $73.32 | $73.32 – $73.32 |
| 12 | Bcbs Mn aware/blue plus fee schedule · outpatient | $74.07 | $74.07 | $74.07 – $74.07 |
| 13 | Bcbs Mn pmap fee schedule · outpatient | $74.07 | $74.07 | $74.07 – $74.07 |
| 14 | Ucare pmap fee schedule · both | $74.27 | $74.27 | $74.27 – $74.27 |
| 15 | Medica medicare advantage non-snp fee schedule · both | $74.51 | $75.10 | $74.51 – $76.27 |
| 16 | Medica msho/medicare advantage snp fee schedule · both | $75.91 | $76.51 | $75.91 – $77.71 |
| 17 | Bcbs Mn pmap fee schedule · both | $76.57 | $76.57 | $76.57 – $76.57 |
| 18 | Medica managed medicaid/accessability fee schedule · outpatient | $86.46 | $86.46 | $86.46 – $86.46 |
| 19 | Medica msho/medicare advantage snp fee schedule · outpatient | $93.49 | $93.49 | $93.49 – $93.49 |
| 20 | Ucare individual and family with m health fairview fee schedule · outpatient | $122.98 | $122.98 | $122.98 – $122.98 |
| 21 | UnitedHealthcare commercial fee schedule · outpatient | $128.75 | $128.75 | $128.75 – $128.75 |
| 22 | UnitedHealthcare core fee schedule · outpatient | $128.75 | $128.75 | $128.75 – $128.75 |
| 23 | Medica bold fee schedule · both | $132.53 | $132.53 | $132.53 – $132.53 |
| 24 | Medica vantage self insured fee schedule · both | $143.58 | $143.58 | $143.58 – $143.58 |
| 25 | Medica bold fee schedule · outpatient | $146.06 | $146.06 | $146.06 – $146.06 |
Last updated: Feb 5, 2026
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