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 Sarscov & Influenza Virus Types a&B
Jacksonville, TX
See all hospitals reporting CPT 87428 →Price type
Jacksonville Hospital, LLC’s median price of $120 is 65% above the median hospital's median price ($73), higher than 89% 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: 4 payers, 7 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 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $120.25 | $120.25 | $120.25 – $120.25 |
| 2 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $120.25 | $120.25 | $120.25 – $120.25 |
| 3 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $120.25 | $120.25 | $120.25 – $120.25 |
| 4 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $268.40 | $268.40 | $268.40 – $268.40 |
| 5 | Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges | $307.84 | $307.84 | $307.84 – $307.84 |
| 6 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $307.84 | $307.84 | $307.84 – $307.84 |
| 7 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $307.84 | $307.84 | $307.84 – $307.84 |
Last updated: Feb 12, 2026
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