Rapid antigen test for infectious agents at Forsyth Memorial Hospital, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

POC SARSCOV & INFLUENZA VIRUS A&B

Winston-Salem, NC

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How this price compares nationally

Forsyth Memorial Hospital, Inc.’s median price of $63 is 13% below the median hospital's median price ($73), higher than 9% of the 1,734 hospitals reporting CPT 87428. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 87428 at Forsyth Memorial Hospital, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 29 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	Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient	$14.96	$19.32	$14.20 – $28.79
2	UnitedHealthcare medicaid fee schedule · outpatient	$14.96	$19.32	$14.20 – $28.79
3	WellCare medicaid fee schedule · outpatient	$14.96	$19.32	$14.20 – $28.79
4	Cigna aca fee schedule · outpatient	$30.57	$39.48	$29.02 – $58.84
5	Caresource qualified health plan fee schedule · outpatient	$31.60	$40.81	$30.00 – $60.82
6	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$43.63	$43.63	$43.63 – $43.63
7	Blue Cross Blue Shield blue home fee schedule · outpatient	$41.23	$53.25	$39.15 – $79.37
8	Blue Cross Blue Shield blue value fee schedule · outpatient	$42.66	$55.09	$40.50 – $82.10
9	Cigna commercial fee schedule · outpatient	$46.92	$60.59	$44.55 – $90.31
10	Aetna commercial fee schedule · outpatient	$48.66	$62.84	$46.20 – $93.66
11	UnitedHealthcare all payer fee schedule · outpatient	$53.16	$68.65	$50.47 – $102.32
12	Blue Cross Blue Shield hmo fee schedule · outpatient	$54.27	$70.08	$51.52 – $104.45
13	Blue Cross Blue Shield ppo fee schedule · outpatient	$54.27	$70.08	$51.52 – $104.45
14	Blue Cross Blue Shield blue medicare fee schedule · outpatient	$70.29	$70.29	$70.29 – $70.29
15	Humana medicare fee schedule · outpatient	$70.29	$70.29	$70.29 – $70.29
16	UnitedHealthcare medicare fee schedule · outpatient	$70.29	$70.29	$70.29 – $70.29
17	Aetna medicare fee schedule · outpatient	$72.05	$72.05	$72.05 – $72.05
18	Cigna healthspring fee schedule · outpatient	$72.40	$72.40	$72.40 – $72.40
19	Humana commercial fee schedule · outpatient	$61.54	$79.47	$58.42 – $118.44
20	Aetna aca fee schedule · outpatient	$63.20	$81.61	$60.00 – $121.64
21	Aetna first health fee schedule · outpatient	$63.20	$81.61	$60.00 – $121.64
22	Aetna non-par products of apcn fee schedule · outpatient	$63.20	$81.61	$60.00 – $121.64
23	Aetna rental network products fee schedule · outpatient	$63.20	$81.61	$60.00 – $121.64
24	Aetna whole health non-multitier fee schedule · outpatient	$63.20	$81.61	$60.00 – $121.64
25	Medcost mbs fee schedule · outpatient	$67.15	$86.71	$63.75 – $129.24

Page 1 of 2 · 29 rates

Last updated: Mar 30, 2026

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