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
CITY, IN
See all hospitals reporting CPT 87428 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY’s median price of $203 is 179% above the median hospital's median price ($73), higher than 97% 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, 12 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 In anthem blue access ppo-cid fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 2 | Blue Cross Blue Shield anthem blue access ppo-cid fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 3 | Medicaid in mcd-nir-michigan city fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 4 | Medicaid in mdc mi city caresource 120% of in mcd fee schedule · both | $84.35 | $84.35 | $84.35 – $84.35 |
| 5 | Aetna aetna-nid-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $138.99 | $138.99 | $138.99 – $138.99 |
| 6 | Bcbs Il st anthony health-nir-stmar&fhm&stant mc percent of total billed charges · bothfrom % of charges | $169.50 | $169.50 | $169.50 – $169.50 |
| 7 | UnitedHealthcare uhc all payer-nid-michigan city percent of total billed charges · bothfrom % of charges | $203.06 | $203.06 | $203.06 – $203.06 |
| 8 | Cigna cigna hmo-nid-michigan city & laporte percent of total billed charges · bothfrom % of charges | $204.76 | $204.76 | $204.76 – $204.76 |
| 9 | Aetna aetna-nir-michigan city fee schedule · both | $210.87 | $210.87 | $210.87 – $210.87 |
| 10 | Cigna cigna ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $214.59 | $214.59 | $214.59 – $214.59 |
| 11 | UnitedHealthcare uhc options ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $225.77 | $225.77 | $225.77 – $225.77 |
| 12 | Cigna cigna behavioral health-nir-st anth mc percent of total billed charges · bothfrom % of charges | $237.30 | $237.30 | $237.30 – $237.30 |
Last updated: Jan 1, 2026
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