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
MARYVILLE, TN
See all hospitals reporting CPT 87428 →Price type
Prisma Health Blount Memorial Hospital’s median price of $73 is about the same as the median hospital's median price ($73), higher than 49% 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: 12 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Tricare phtn hb tricare - blount fee schedule · both | $29.70 | $29.70 | $29.70 – $29.70 |
| 2 | UnitedHealthcare phtn hb uhc community plan - blount fee schedule · both | $34.33 | $34.33 | $34.33 – $34.33 |
| 3 | UnitedHealthcare phtn hb united healthcare all payer - blount fee schedule · both | $44.14 | $44.14 | $44.14 – $44.14 |
| 4 | Cigna phtn hb cigna - blount fee schedule · both | $56.23 | $56.23 | $56.23 – $56.23 |
| 5 | UnitedHealthcare ph north carolina medicaid fee schedule · both | $63.59 | $63.59 | $63.59 – $63.59 |
| 6 | WellCare ph north carolina medicaid fee schedule · both | $63.59 | $63.59 | $63.59 – $63.59 |
| 7 | Blue Cross Blue Shield phtn hb 100% of medicare - blount fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 8 | Humana phtn hb humana medicare - blount fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 9 | Medicare phtn hb medicare - blount fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 10 | UnitedHealthcare phtn hb united healthcare exchange - blount fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 11 | WellCare phtn hb 100% of medicare - blount fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 12 | UnitedHealthcare phtn hb uhc medicare - blount fee schedule · both | $72.05 | $72.05 | $72.05 – $72.05 |
| 13 | Cigna phtn hb healthspring medicare (pka cigna) - blount fee schedule · both | $72.40 | $72.40 | $72.40 – $72.40 |
| 14 | Blue Cross Blue Shield phtn hb bluecare plus medicare - blount fee schedule · both | $73.10 | $73.10 | $73.10 – $73.10 |
| 15 | Cigna phtn hb blount county govt - blount fee schedule · both | $91.38 | $91.38 | $91.38 – $91.38 |
| 16 | Ambetter phtn hb ambetter atc medicare - blount fee schedule · both | $108.95 | $108.95 | $108.95 – $108.95 |
| 17 | Blue Cross Blue Shield phtn hb bcbs of tenn - blount fee schedule · both | $238.46 | $238.46 | $238.46 – $238.46 |
| 18 | Medcost ph hb medcost benefit services percent of total billed charges · bothfrom % of charges | $298.96 | $298.96 | $298.96 – $298.96 |
| 19 | Medcost ph hb medcost percent of total billed charges · bothfrom % of charges | $335.32 | $335.32 | $335.32 – $335.32 |
| 20 | MultiPlan ph hb multiplan percent of total billed charges · bothfrom % of charges | $359.56 | $359.56 | $359.56 – $359.56 |
| 21 | Aetna phtn hb aetna - blount percent of total billed charges · bothfrom % of charges | $363.60 | $363.60 | $363.60 – $363.60 |
| 22 | First Health phu hb aetna first health (aka rental network) percent of total billed charges · bothfrom % of charges | $375.72 | $375.72 | $375.72 – $375.72 |
Last updated: Mar 1, 2026
See Rapid antigen test for infectious agents pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.