APC 09521
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
Platelets leukoreduced ir
Low
$186
Average
$252
Median
$210
High
$469
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 2.1× 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 | 81 | $184 | $183 | $7 | 4% | — | $142 – $190 |
| 2 | Caresource fee schedule · outpatient | 15 | $190 | $190 | — | — | — | $190 – $190 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $190 | $190 | — | — | — | $190 – $190 |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +1 other terms | 5 | $190 | $492 | $353 | 72% | — | $190 – $1.0k |
| 5 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $190 | $190 | — | — | — | $190 – $190 |
| 6 | Aetna facility · fee schedule · outpatient · +1 other terms | 3 | $195 | $194 | $1 | 1% | — | $192 – $195 |
| 7 | Carefirst facility · fee schedule · outpatient | 3 | $190 | $189 | $1 | 1% | — | $187 – $190 |
| 8 | Ambetter facility · fee schedule · outpatient | 2 | $351 | $351 | — | — | — | $351 – $351 |
| 9 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $299 | $299 | $109 | 37% | — | $190 – $408 |
| 10 | Cigna facility · fee schedule · outpatient · +1 other terms | 2 | $588 | $588 | $206 | 35% | — | $196 – $755 |
| 11 | Devoted facility · fee schedule · outpatient | 2 | $190 | $190 | — | — | — | $190 – $190 |
| 12 | Kaiser facility · fee schedule · outpatient | 2 | $197 | $197 | $2 | 1% | — | $196 – $199 |
| 13 | Medicare fee schedule · both · +1 other terms | 2 | $209 | $206 | $22 | 11% | — | $187 – $232 |
| 14 | Molina facility · fee schedule · outpatient | 2 | $282 | $282 | $88 | 31% | — | $193 – $370 |
| 15 | WellCare facility · fee schedule · outpatient · +1 other terms | 2 | $187 | $187 | — | — | — | $187 – $187 |
| 16 | Optum fee schedule · both | 1 | $232 | $232 | — | — | — | $232 – $232 |
← Hospitals reporting APC 09521 · Snapshot 20261111T120946Z-9134e7f7