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
INF AGT QL SARS COV2 INFLU A B
Washington, DC
See all hospitals reporting CPT 87428 →Price type
MedStar Georgetown Hospital’s median price of $162 is 121% above the median hospital's median price ($73), higher than 95% 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: 10 payers, 22 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 | Carefirst carefirst medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 2 | Tricare tricare facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 3 | UnitedHealthcare optum va community care facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 4 | UnitedHealthcare united secure facility · fee schedule · outpatient | $70.99 | $70.99 | $70.99 – $70.99 |
| 5 | Aetna aetna medicare facility · fee schedule · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 6 | Humana humana medicare advantage facility · fee schedule · outpatient | $73.80 | $73.80 | $73.80 – $73.80 |
| 7 | Anthem anthem-hmo medicaid facility · fee schedule · outpatient | $76.38 | $76.38 | $76.38 – $76.38 |
| 8 | UnitedHealthcare uhc navigate/core facility · fee schedule · outpatient | $101.22 | $101.22 | $101.22 – $101.22 |
| 9 | UnitedHealthcare united healthcare all hmo & mamsi products facility · fee schedule · outpatient | $101.22 | $101.22 | $101.22 – $101.22 |
| 10 | UnitedHealthcare united healthcare all ppo products facility · fee schedule · outpatient | $101.22 | $101.22 | $101.22 – $101.22 |
| 11 | Amerihealth Caritas amerihealth facility · fee schedule · outpatient | $103.73 | $103.73 | $103.73 – $103.73 |
| 12 | UnitedHealthcare unitedhealthcare community plan of maryland facility · percent of total billed charges · outpatientfrom % of charges | $161.51 | $161.51 | $161.51 – $161.51 |
| 13 | UnitedHealthcare unitedhealthcare community plan of maryland facility · percent of total billed charges · inpatientfrom % of charges | $201.89 | $201.89 | $201.89 – $201.89 |
| 14 | Cigna all cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $372.63 | $372.63 | $372.63 – $372.63 |
| 15 | Cigna all cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $372.63 | $372.63 | $372.63 – $372.63 |
| 16 | Aetna aetna all hmo and ppo plans facility · percent of total billed charges · outpatientfrom % of charges | $398.01 | $398.01 | $398.01 – $398.01 |
| 17 | Phcs private healthcare systems (phcs) facility · percent of total billed charges · inpatientfrom % of charges | $461.46 | $461.46 | $461.46 – $461.46 |
| 18 | Phcs private healthcare systems (phcs) facility · percent of total billed charges · outpatientfrom % of charges | $461.46 | $461.46 | $461.46 – $461.46 |
| 19 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $490.31 | $490.31 | $490.31 – $490.31 |
| 20 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $490.31 | $490.31 | $490.31 – $490.31 |
| 21 | Carefirst all carefirst hmo plans facility · fee schedule · outpatient | $560.73 | $560.73 | $560.73 – $560.73 |
| 22 | Carefirst all carefirst ppo plans facility · fee schedule · outpatient | $560.73 | $560.73 | $560.73 – $560.73 |
Last updated: Apr 1, 2026
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