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
Tremonton, UT
See all hospitals reporting CPT 87428 →Price type
IHC Health Services Inc., DBA Intermountain Health Bear River Valley 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: 6 payers, 41 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 | Molina medicaid facility · fee schedule · outpatient | $58.16 | $58.16 | $58.16 – $58.16 |
| 2 | Aetna medicare adv hmo facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 3 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 4 | Molina medicaid facility · percent of total billed charges · inpatientfrom % of charges | $72.92 | $72.92 | $72.92 – $72.92 |
| 5 | Humana medicare choice ppo facility · fee schedule · outpatient | $73.80 | $73.80 | $73.80 – $73.80 |
| 6 | Regence medadvantage ppo facility · fee schedule · outpatient | $74.51 | $74.51 | $74.51 – $74.51 |
| 7 | Molina medicare choice care hmo facility · fee schedule · outpatient | $75.91 | $75.91 | $75.91 – $75.91 |
| 8 | Molina medicare complete care hmo snp facility · fee schedule · outpatient | $75.91 | $75.91 | $75.91 – $75.91 |
| 9 | Aetna medicare adv ppo facility · fee schedule · outpatient | $77.32 | $77.32 | $77.32 – $77.32 |
| 10 | Aetna connected facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 11 | Aetna extended facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 12 | Aetna standard facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 13 | Aetna standard facility · percent of total billed charges · outpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 14 | Cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 15 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 16 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 17 | Cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 18 | Cigna ppo/epo facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 19 | Cigna ppo/epo facility · percent of total billed charges · outpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 20 | Molina chip facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 21 | Molina chip facility · percent of total billed charges · outpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 22 | Molina marketplace facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 23 | Molina marketplace facility · percent of total billed charges · outpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 24 | Regence blueoption facility · percent of total billed charges · inpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
| 25 | Regence blueoption facility · percent of total billed charges · outpatientfrom % of charges | $77.83 | $77.83 | $77.83 – $77.83 |
Last updated: Aug 5, 2026
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