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 AB AG IA
Asheville, NC
See all hospitals reporting CPT 87428 →Price type
Mission Hospital’s median price of $76 is 4% above the median hospital's median price ($73), higher than 66% 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: 13 payers, 26 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 | Blue Cross Blue Shield mgmcd percent of total billed charges · outpatientfrom % of charges | $41.84 | $41.84 | $41.84 – $41.84 |
| 2 | UnitedHealthcare bhmgmcd percent of total billed charges · outpatientfrom % of charges | $42.47 | $42.47 | $42.47 – $42.47 |
| 3 | WellCare mgmcd percent of total billed charges · outpatientfrom % of charges | $43.09 | $43.09 | $43.09 – $43.09 |
| 4 | Ambetter hix fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 5 | UnitedHealthcare vaccn fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 6 | Aetna mcr fee schedule · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 7 | UnitedHealthcare mcr fee schedule · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 8 | Humana stateemployees fee schedule · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 9 | WellCare mcr fee schedule · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 10 | Humana mcr fee schedule · outpatient | $73.10 | $73.10 | $73.10 – $73.10 |
| 11 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $73.62 | $73.62 | $73.62 – $73.62 |
| 12 | Cigna Healthspring mcr fee schedule · outpatient | $75.91 | $75.91 | $75.91 – $75.91 |
| 13 | Cigna hix percent of total billed charges · outpatientfrom % of charges | $78.34 | $78.34 | $78.34 – $78.34 |
| 14 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $78.34 | $78.34 | $78.34 – $78.34 |
| 15 | Amerihealth Caritas mgmcr fee schedule · outpatient | $80.13 | $80.13 | $80.13 – $80.13 |
| 16 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $82.21 | $82.21 | $82.21 – $82.21 |
| 17 | Oscar hix fee schedule · outpatient | $87.86 | $87.86 | $87.86 – $87.86 |
| 18 | Amerihealth Caritas commercial-exchange fee schedule · outpatient | $98.41 | $98.41 | $98.41 – $98.41 |
| 19 | Caresource hix percent of total billed charges · outpatientfrom % of charges | $100.21 | $100.21 | $100.21 – $100.21 |
| 20 | UnitedHealthcare globalbenefitplanappendix percent of total billed charges · outpatientfrom % of charges | $102.48 | $102.48 | $102.48 – $102.48 |
| 21 | Cigna existingbusiness percent of total billed charges · outpatientfrom % of charges | $104.99 | $104.99 | $104.99 – $104.99 |
| 22 | Medcost ultrarate percent of total billed charges · outpatientfrom % of charges | $128.29 | $128.29 | $128.29 – $128.29 |
| 23 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $134.59 | $134.59 | $134.59 – $134.59 |
| 24 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $160.10 | $160.10 | $160.10 – $160.10 |
| 25 | MultiPlan comm percent of total billed charges · outpatientfrom % of charges | $182.19 | $182.19 | $182.19 – $182.19 |
Last updated: Sep 1, 2026
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