APC 09531
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
Plt, pher, l/r cmv-neg, i
Low
$196
Average
$600
Median
$583
High
$1.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
13 payers; the 90th percentile is 1.3× 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 | $488 | $486 | $17 | 4% | — | $378 – $503 |
| 2 | Caresource fee schedule · outpatient | 15 | $503 | $503 | — | — | — | $503 – $503 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 6 | $503 | $503 | — | — | — | $503 – $503 |
| 4 | Bcbs Ca facility · fee schedule · outpatient | 2 | $1.6k | $1.4k | $664 | 46% | — | $501 – $1.9k |
| 5 | Kaiser facility · fee schedule · outpatient | 2 | $501 | $501 | — | — | — | $501 – $501 |
| 6 | Medicare fee schedule · both | 2 | $516 | $502 | $98 | 19% | — | $417 – $615 |
| 7 | MultiPlan facility · other · outpatient | 2 | $196 | $196 | — | — | — | $196 – $196 |
| 8 | Tricare fee schedule · both · +1 other terms | 2 | $507 | $507 | $111 | 22% | — | $334 – $615 |
| 9 | UnitedHealthcare facility · fee schedule · outpatient · +1 other terms | 2 | $501 | $501 | — | — | — | $501 – $501 |
| 10 | Aetna fee schedule · both · +1 other terms | 1 | $615 | $615 | — | — | — | $615 – $615 |
| 11 | Cigna fee schedule · both | 1 | $615 | $615 | — | — | — | $615 – $615 |
| 12 | Optum fee schedule · both | 1 | $615 | $615 | — | — | — | $615 – $615 |
| 13 | WellCare fee schedule · both | 1 | $615 | $615 | — | — | — | $615 – $615 |
← Hospitals reporting APC 09531 · Snapshot 20261111T120946Z-9134e7f7