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 87428 IAAD IA SARS COVID & INFLUENZA VIRUS A&B
San Antonio, TX
See all hospitals reporting CPT 87428 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $71 is 2% below the median hospital's median price ($73), higher than 40% 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, 35 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 payer fee schedule · outpatient | $14.74 | $14.74 | $14.74 – $14.74 |
| 2 | Aetna chip km fee schedule · outpatient | $30.94 | $30.94 | $30.94 – $30.94 |
| 3 | Aetna star km fee schedule · outpatient | $30.94 | $30.94 | $30.94 – $30.94 |
| 4 | Bcbs Tx star chip km fee schedule · outpatient | $30.94 | $30.94 | $30.94 – $30.94 |
| 5 | Molina chip km fee schedule · outpatient | $30.94 | $30.94 | $30.94 – $30.94 |
| 6 | Molina star plus km fee schedule · outpatient | $30.94 | $30.94 | $30.94 – $30.94 |
| 7 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $43.38 | $56.46 | $39.06 – $86.94 |
| 8 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $43.38 | $56.46 | $39.06 – $86.94 |
| 9 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $43.38 | $56.46 | $39.06 – $86.94 |
| 10 | Aetna mm fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 11 | Bcbs Tx mm fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 12 | Humana gold choice mm fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 13 | Humana gold plus mm fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 14 | Molina medicare adv mm fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 15 | UnitedHealthcare mm fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 16 | WellCare mm fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 17 | Devoted mm fee schedule · outpatient | $75.91 | $75.91 | $75.91 – $75.91 |
| 18 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $79.52 | $79.52 | $79.52 – $79.52 |
| 19 | Bcbs Tx hmo fee schedule · outpatient | $96.84 | $96.84 | $96.84 – $96.84 |
| 20 | Bcbs Tx heb fee schedule · outpatient | $98.08 | $98.08 | $98.08 – $98.08 |
| 21 | Bcbs Tx ppo fee schedule · outpatient | $108.91 | $108.91 | $108.91 – $108.91 |
| 22 | Bcbs Tx traditional fee schedule · outpatient | $114.79 | $114.79 | $114.79 – $114.79 |
| 23 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $89.17 | $116.06 | $80.29 – $178.71 |
| 24 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $106.04 | $138.01 | $95.48 – $212.52 |
| 25 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $108.45 | $141.15 | $97.65 – $217.35 |
Last updated: Jan 13, 2026
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