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 Sarscov & Inf Vir a&B Ag Ia
EASLEY, SC
See all hospitals reporting CPT 87428 →Price type
Prisma Health Baptist Easley Hospital’s median price of $70 is 4% below the median hospital's median price ($73), higher than 17% 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: 15 payers, 34 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 | Tricare phu hb tricare - gmh fee schedule · both | $28.22 | $28.22 | $28.22 – $28.22 |
| 2 | Blue Cross Blue Shield phu hb upstate blue exchange reedy - gmh fee schedule · both | $30.62 | $30.62 | $30.62 – $30.62 |
| 3 | Blue Cross Blue Shield phu hb blues exchange gmh fee schedule · both | $35.45 | $35.45 | $35.45 – $35.45 |
| 4 | Caresource phu hb 100% of medicaid - gmh fee schedule · both | $54.83 | $54.83 | $54.83 – $54.83 |
| 5 | Molina phu hb 103% of medicaid - gmh fee schedule · both | $56.47 | $56.47 | $56.47 – $56.47 |
| 6 | Humana phu hb 107% of medicaid - gmh fee schedule · both | $58.67 | $58.67 | $58.67 – $58.67 |
| 7 | Blue Cross Blue Shield phu hb bcbs state gmh rcp fee schedule · both | $58.71 | $58.71 | $58.71 – $58.71 |
| 8 | Blue Cross Blue Shield phu hb bcbs ppc gmh fee schedule · both | $60.52 | $60.52 | $60.52 – $60.52 |
| 9 | UnitedHealthcare phu hb united healthcare fee schedule · both | $63.26 | $63.26 | $63.26 – $63.26 |
| 10 | UnitedHealthcare ph north carolina medicaid fee schedule · both | $63.59 | $63.59 | $63.59 – $63.59 |
| 11 | WellCare ph north carolina medicaid fee schedule · both | $63.59 | $63.59 | $63.59 – $63.59 |
| 12 | Blue Cross Blue Shield phu hb 100% of medicare - gmh fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 13 | Cigna phu hb 100% of medicare - gmh fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 14 | Devoted phu hb 100% of medicare - gmh fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 15 | Medicare phu hb medicare - gmh fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 16 | Blue Cross Blue Shield phu hb 102% of medicare - gmh fee schedule · both | $71.70 | $71.70 | $71.70 – $71.70 |
| 17 | Humana phu hb humana medicare pffs - gmh fee schedule · both | $71.70 | $71.70 | $71.70 – $71.70 |
| 18 | UnitedHealthcare phu hb uhc medicare - gmh fee schedule · both | $72.75 | $72.75 | $72.75 – $72.75 |
| 19 | Humana phu hb 104% humana medicare - gmh fee schedule · both | $73.10 | $73.10 | $73.10 – $73.10 |
| 20 | Aetna phu hb aetna ppo/hmo medicare - gmh fee schedule · both | $73.80 | $73.80 | $73.80 – $73.80 |
| 21 | Aetna phu hb aetna prime hmo medicare - gmh fee schedule · both | $73.80 | $73.80 | $73.80 – $73.80 |
| 22 | Cigna phu hb 105% of medicare - gmh fee schedule · both | $73.80 | $73.80 | $73.80 – $73.80 |
| 23 | Molina phu hb 105% of medicare - gmh fee schedule · both | $73.80 | $73.80 | $73.80 – $73.80 |
| 24 | WellCare phu hb 105% of medicare - gmh fee schedule · both | $73.80 | $73.80 | $73.80 – $73.80 |
| 25 | WellCare phu hb absolute total care medicare gmh fee schedule · both | $73.80 | $73.80 | $73.80 – $73.80 |
Last updated: Mar 1, 2026
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