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 & INFLUENZA VIRUS A&B AG IA
O'Fallon, IL
See all hospitals reporting CPT 87428 →Price type
St Elizabeths Hospital Of The Hospital Sisters Of The Third Order Of St Francis’s median price of $141 is 93% above the median hospital's median price ($73), higher than 93% 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: 8 payers, 16 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 | Molina molina medicaid fee schedule · both | $31.63 | $31.63 | $31.63 – $31.63 |
| 2 | Aetna aetna medicare fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 3 | Bcbs Il bcbs il medicare fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 4 | Bcbs Il bcbs il mmai fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 5 | Bcbs Il blue cross blue shield of illinois medicare adv fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 6 | Humana humana medicare fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 7 | UnitedHealthcare united health care medicare fee schedule · both | $70.29 | $70.29 | $70.29 – $70.29 |
| 8 | Molina molina medicare fee schedule · both | $73.80 | $73.80 | $73.80 – $73.80 |
| 9 | Aetna all commercial aetna fee schedule · both | $138.16 | $138.16 | $138.16 – $138.16 |
| 10 | UnitedHealthcare all commercial united healthcare fee schedule · both | $140.58 | $140.58 | $140.58 – $140.58 |
| 11 | UnitedHealthcare united healthcare behavioral health fee schedule · both | $140.58 | $140.58 | $140.58 – $140.58 |
| 12 | Cigna all commercial cigna percent of total billed charges · bothfrom % of charges | $148.15 | $148.15 | $148.15 – $148.15 |
| 13 | Aetna aetna hshs percent of total billed charges · bothfrom % of charges | $172.48 | $172.48 | $172.48 – $172.48 |
| 14 | First Health all commercial first health network percent of total billed charges · bothfrom % of charges | $228.84 | $228.84 | $228.84 – $228.84 |
| 15 | MultiPlan all commercial multiplan percent of total billed charges · bothfrom % of charges | $246.40 | $246.40 | $246.40 – $246.40 |
| 16 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $308.00 | $308.00 | $308.00 – $308.00 |
Last updated: Mar 24, 2026
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