APC 09505
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
RBC irradiated
Low
$37
Average
$173
Median
$152
High
$415
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
17 payers; the 90th percentile is 1.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +2 other terms | 86 | $141 | $141 | $5 | 4% | — | $109 – $149 |
| 2 | Caresource fee schedule · outpatient | 20 | $145 | $146 | $1 | 1% | — | $145 – $147 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 11 | $145 | $144 | $1 | 1% | — | $143 – $145 |
| 4 | Aetna facility · fee schedule · outpatient · +3 other terms | 7 | $136 | $141 | $6 | 5% | — | $136 – $150 |
| 5 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 6 | $145 | $361 | $268 | 74% | — | $145 – $796 |
| 6 | Clover fee schedule · outpatient | 5 | $150 | $150 | — | — | — | $150 – $150 |
| 7 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $147 | $147 | — | — | — | $147 – $147 |
| 8 | Medicare fee schedule · outpatient · +2 other terms | 5 | $143 | $143 | — | — | — | $143 – $143 |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $147 | $147 | — | — | — | $147 – $147 |
| 10 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $145 | $145 | — | — | — | $145 – $145 |
| 11 | Carefirst facility · fee schedule · outpatient | 3 | $145 | $144 | $1 | 1% | — | $143 – $145 |
| 12 | Medica facility · fee schedule · outpatient | 3 | $149 | $149 | — | — | — | $149 – $149 |
| 13 | Bcbs Ca facility · fee schedule · outpatient | 2 | $449 | $415 | $191 | 46% | — | $145 – $551 |
| 14 | MultiPlan facility · other · outpatient · +1 other terms | 2 | $41 | $41 | — | — | — | $41 – $41 |
| 15 | Cigna fee schedule · both | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 16 | Molina facility · fee schedule · outpatient | 1 | $178 | $178 | $34 | 19% | — | $145 – $212 |
| 17 | Optum fee schedule · both | 1 | $177 | $177 | — | — | — | $177 – $177 |
← Hospitals reporting APC 09505 · Snapshot 20261111T120946Z-9134e7f7