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
HC IAAD IA SARS COV-2 & INFLUENZA VIRUS TYPES A&B
Panguitch, UT
See all hospitals reporting CPT 87428 →Price type
Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital’s median price of $78 is 7% above the median hospital's median price ($73), higher than 68% 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, 42 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 medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $31.13 | $31.13 | $31.13 – $31.13 |
| 2 | Aetna aetna medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $31.13 | $31.13 | $31.13 – $31.13 |
| 3 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $31.13 | $31.13 | $31.13 – $31.13 |
| 4 | Molina molina healthcare medicaid hmo facility · percent of total billed charges · outpatientfrom % of charges | $31.13 | $31.13 | $31.13 – $31.13 |
| 5 | Molina molina medicare complete care hmo snp facility · percent of total billed charges · outpatientfrom % of charges | $34.41 | $34.41 | $34.41 – $34.41 |
| 6 | Tricare tricare (hnfs) military program facility · percent of total billed charges · outpatientfrom % of charges | $35.48 | $35.48 | $35.48 – $35.48 |
| 7 | Tricare tricare (hnfs) military program facility · percent of total billed charges · inpatientfrom % of charges | $42.20 | $42.20 | $42.20 – $42.20 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $67.18 | $67.18 | $67.18 – $67.18 |
| 9 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $68.82 | $68.82 | $68.82 – $68.82 |
| 10 | Molina medicaid facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 11 | Molina molina healthcare medicaid hmo facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 12 | Molina medicaid facility · percent of total billed charges · inpatientfrom % of charges | $72.92 | $72.92 | $72.92 – $72.92 |
| 13 | Molina molina healthcare medicaid hmo facility · percent of total billed charges · inpatientfrom % of charges | $72.92 | $72.92 | $72.92 – $72.92 |
| 14 | Molina molina medicare complete care hmo snp facility · fee schedule · outpatient | $74.51 | $74.51 | $74.51 – $74.51 |
| 15 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $77.32 | $77.32 | $77.32 – $77.32 |
| 16 | Aetna aetna medicare ppo facility · fee schedule · outpatient | $77.32 | $77.32 | $77.32 – $77.32 |
| 17 | Aetna aetna extended network facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 18 | Aetna aetna standard network aka aetna health plan network for utah facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 19 | Aetna aetna standard network aka aetna health plan network for utah facility · percent of total billed charges · outpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 20 | Aetna aetna utah connected network facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 21 | Aetna aetna utah connected network facility · percent of total billed charges · outpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 22 | Aetna aetna whole health connected utah network facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 23 | Blue Cross Blue Shield bcbs association-blue card ppo plan facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 24 | Blue Cross Blue Shield bcbs association-blue card ppo plan facility · percent of total billed charges · outpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 25 | Blue Cross Blue Shield bcbs association-blue card traditional plan facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
Last updated: Aug 5, 2026
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