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
Cheyenne, WY
See all hospitals reporting CPT 87428 →Price type
Memorial Hospital of Laramie County’s median price of $92 is 26% above the median hospital's median price ($73), higher than 77% 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 | UnitedHealthcare hmo/pos/ppo fee schedule · both | $35.15 | $35.15 | $35.15 – $35.15 |
| 2 | Humana medicare advantage case rate · outpatient | $73.80 | $73.80 | $73.80 – $73.80 |
| 3 | Bcbs Wy blue select ppo fee schedule · both | $91.95 | $91.95 | $91.95 – $91.95 |
| 4 | Bcbs Wy ppo fee schedule · both | $91.95 | $91.95 | $91.95 – $91.95 |
| 5 | Bcbs Wy blue select ppo case rate · outpatient | $105.44 | $105.44 | $105.44 – $105.44 |
| 6 | Bcbs Wy ppo case rate · outpatient | $105.44 | $105.44 | $105.44 – $105.44 |
| 7 | Cigna pos/ppo case rate · outpatient | $140.58 | $140.58 | $140.58 – $140.58 |
Last updated: Mar 25, 2026
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