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
West Hills, CA
See all hospitals reporting CPT 87428 →Price type
UCLA West Valley Medical Center’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: 5 payers, 6 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 medicare advantage fee schedule · outpatient | $63.59 | $63.59 | $63.59 – $63.59 |
| 2 | Aetna medicare advantage fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 3 | Anthem medicare advantage fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 4 | Bcbs Ca medicare advantage fee schedule · outpatient | $70.29 | $70.29 | $70.29 – $70.29 |
| 5 | Cigna ppo fee schedule · outpatient | $100.97 | $100.97 | $100.97 – $100.97 |
| 6 | Cigna hmo fee schedule · outpatient | $108.04 | $108.04 | $108.04 – $108.04 |
Last updated: Mar 29, 2026
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