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
INDIANAPOLIS, IN
See all hospitals reporting CPT 87428 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS’s median price of $70 is 4% below the median hospital's median price ($73), higher than 17% 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: 7 payers, 51 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 | Aetna aetna [100507] percent of total billed charges · bothfrom % of charges | $31.98 | $31.98 | $31.98 – $31.98 |
| 2 | Aetna aetna choice ppo [100503] percent of total billed charges · bothfrom % of charges | $31.98 | $31.98 | $31.98 – $31.98 |
| 3 | Aetna aetna hmo/pos [300598] percent of total billed charges · bothfrom % of charges | $31.98 | $31.98 | $31.98 – $31.98 |
| 4 | Aetna aetna oap/pos state of illinois [317013] percent of total billed charges · bothfrom % of charges | $31.98 | $31.98 | $31.98 – $31.98 |
| 5 | Aetna aetna qchp state of illinois [317014] percent of total billed charges · bothfrom % of charges | $31.98 | $31.98 | $31.98 – $31.98 |
| 6 | Aetna aetna-nid-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $31.98 | $31.98 | $31.98 – $31.98 |
| 7 | UnitedHealthcare united healthcare charter [322010] percent of total billed charges · bothfrom % of charges | $46.33 | $46.33 | $46.33 – $46.33 |
| 8 | UnitedHealthcare bind/surest insurance [322006] percent of total billed charges · bothfrom % of charges | $47.27 | $47.27 | $47.27 – $47.27 |
| 9 | UnitedHealthcare united healthcare [115607] percent of total billed charges · bothfrom % of charges | $47.27 | $47.27 | $47.27 – $47.27 |
| 10 | UnitedHealthcare united healthcare [315698] percent of total billed charges · bothfrom % of charges | $47.27 | $47.27 | $47.27 – $47.27 |
| 11 | UnitedHealthcare united healthcare choice [315037] percent of total billed charges · bothfrom % of charges | $47.27 | $47.27 | $47.27 – $47.27 |
| 12 | UnitedHealthcare united healthcare core [321009] percent of total billed charges · bothfrom % of charges | $47.27 | $47.27 | $47.27 – $47.27 |
| 13 | UnitedHealthcare united healthcare ppo [115605] percent of total billed charges · bothfrom % of charges | $47.27 | $47.27 | $47.27 – $47.27 |
| 14 | UnitedHealthcare united healthcare ppo [115606] percent of total billed charges · bothfrom % of charges | $47.27 | $47.27 | $47.27 – $47.27 |
| 15 | Cigna cigna oa plus [312118] percent of total billed charges · bothfrom % of charges | $49.69 | $49.69 | $49.69 – $49.69 |
| 16 | Cigna cigna ppo [103703] percent of total billed charges · bothfrom % of charges | $49.69 | $49.69 | $49.69 – $49.69 |
| 17 | Cigna cigna-cid percent of total billed charges · bothfrom % of charges | $49.69 | $49.69 | $49.69 – $49.69 |
| 18 | Aetna aetna-cid percent of total billed charges · bothfrom % of charges | $53.98 | $53.98 | $53.98 – $53.98 |
| 19 | Humana choice care ppo-cir percent of total billed charges · bothfrom % of charges | $54.35 | $54.35 | $54.35 – $54.35 |
| 20 | Bcbs In anthem blue access ppo-cid fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 21 | Blue Cross Blue Shield anthem blue access ppo-cid fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 22 | Blue Cross Blue Shield anthem franciscan alliance employee ins [319071] fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 23 | Blue Cross Blue Shield anthem healthsync [319068] fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 24 | Blue Cross Blue Shield anthem healthsync hpn [322022] fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 25 | Blue Cross Blue Shield anthem hmo [101405] fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
Last updated: Jan 1, 2026
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