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
Rochester, NY
See all hospitals reporting CPT 87428 →Price type
Rochester General 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: 6 payers, 11 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 commercial facility · fee schedule · outpatient | $63.26 | $63.26 | $63.26 – $63.26 |
| 2 | Cigna commercial facility · fee schedule · outpatient | $66.07 | $66.07 | $66.07 – $66.07 |
| 3 | Excellus medicare advantage facility · fee schedule · outpatient | $66.78 | $66.78 | $63.26 – $70.29 |
| 4 | Humana medicare advantage facility · fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 5 | UnitedHealthcare medicare advantage dual facility · fee schedule · outpatient | $72.40 | $72.40 | $72.40 – $72.40 |
| 6 | WellCare medicare advantage facility · fee schedule · outpatient | $73.80 | $73.80 | $73.80 – $73.80 |
| 7 | Excellus commercial facility · fee schedule · outpatient | $74.51 | $74.51 | $74.51 – $74.51 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $76.62 | $76.62 | $76.62 – $76.62 |
| 9 | WellCare medicare advantage dual facility · fee schedule · outpatient | $87.86 | $87.86 | $87.86 – $87.86 |
| 10 | Aetna medicare advantage facility · fee schedule · outpatient | $90.67 | $90.67 | $90.67 – $90.67 |
| 11 | Aetna commercial facility · fee schedule · outpatient | $109.65 | $109.65 | $109.65 – $109.65 |
Last updated: Apr 1, 2026
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