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
Woodbridge, VA
See all hospitals reporting CPT 87428 →Price type
Potomac Hospital Corporation of Prince William’s median price of $74 is about the same as the median hospital's median price ($73), higher than 56% 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: 5 payers, 10 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 all commercial plans facility · fee schedule · outpatient | $44.14 | $44.14 | $44.14 – $44.14 |
| 2 | Carefirst hmo facility · fee schedule · outpatient | $46.94 | $46.94 | $46.94 – $46.94 |
| 3 | Aetna medicare managed care plan facility · fee schedule · outpatient | $71.70 | $71.70 | $71.70 – $71.70 |
| 4 | Humana medicare managed care plan facility · fee schedule · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 5 | Blue Cross Blue Shield anthem medicare managed care plan facility · fee schedule · outpatient | $73.63 | $73.63 | $73.63 – $73.63 |
| 6 | UnitedHealthcare dsnp medicare managed care plan facility · fee schedule · outpatient | $73.80 | $73.80 | $73.80 – $73.80 |
| 7 | Blue Cross Blue Shield anthem exchange facility · fee schedule · outpatient | $135.66 | $135.66 | $135.66 – $135.66 |
| 8 | Blue Cross Blue Shield anthem hmo facility · fee schedule · outpatient | $145.50 | $145.50 | $145.50 – $145.50 |
| 9 | Blue Cross Blue Shield anthem ppo facility · fee schedule · outpatient | $153.23 | $153.23 | $153.23 – $153.23 |
| 10 | Carefirst ppo facility · fee schedule · outpatient | $247.66 | $247.66 | $247.66 – $247.66 |
Last updated: Apr 1, 2026
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