APC 09504

Deglycerolized red blood cells

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

RBC deglycerolized

Payers reporting APC 09504

Payer pricing summary

Low

$181

Average

$460

Median

$337

High

$2.1k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +2 other terms	86	$304	$305	$11	4%	—	$235 – $320
2	Caresource fee schedule · outpatient	20	$313	$315	$2	1%	—	$313 – $317
3	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	11	$313	$309	$2	1%	—	$308 – $313
4	Aetna facility · fee schedule · outpatient · +3 other terms	9	$308	$308	$13	4%	—	$293 – $322
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	7	$314	$791	$573	72%	—	$168 – $1.7k
6	Clover fee schedule · outpatient	5	$323	$323	—	—	—	$323 – $323
7	Kaiser fee schedule · outpatient · +2 other terms	5	$317	$317	—	—	—	$317 – $317
8	Medicare fee schedule · outpatient · +2 other terms	5	$308	$308	—	—	—	$308 – $308
9	WellCare fee schedule · outpatient · +2 other terms	5	$317	$317	—	—	—	$317 – $317
10	Tricare facility · fee schedule · outpatient · +1 other terms	4	$313	$313	—	—	—	$313 – $313
11	Anthem facility · fee schedule · outpatient	3	$2.5k	$2.1k	$817	39%	—	$308 – $2.8k
12	Carefirst facility · fee schedule · outpatient	3	$313	$312	$2	1%	—	$308 – $313
13	Medica facility · fee schedule · outpatient	3	$320	$320	—	—	—	$320 – $320
14	Aetna Better Health facility · other · outpatient	2	$181	$181	—	—	—	$181 – $181
15	Bcbs Mi facility · fee schedule · outpatient	2	$311	$310	$2	1%	—	$308 – $313
16	Cigna facility · fee schedule · outpatient · +1 other terms	2	$667	$667	$320	48%	—	$347 – $986
17	Molina facility · fee schedule · outpatient	2	$429	$429	$117	27%	—	$311 – $546
18	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges	2	$382	$382	$29	8%	—	$353 – $411
19	Ambetter facility · fee schedule · outpatient	1	$422	$422	—	—	—	$422 – $422
20	Cigna Healthspring facility · fee schedule · outpatient	1	$321	$321	—	—	—	$321 – $321
21	Devoted facility · fee schedule · outpatient	1	$308	$308	—	—	—	$308 – $308
22	Medical Mutual facility · other · outpatient	1	$968	$968	—	—	—	$968 – $968
23	Optum fee schedule · both	1	$382	$382	—	—	—	$382 – $382