APC 09533
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, l/r, cmv-neg, irrad
Low
$176
Average
$294
Median
$267
High
$713
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 1.2× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +2 other terms | 81 | $242 | $241 | $9 | 4% | — | $187 – $249 |
| 2 | Caresource fee schedule · outpatient | 15 | $249 | $249 | — | — | — | $249 – $249 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 6 | $249 | $249 | — | — | — | $249 – $249 |
| 4 | Aetna facility · fee schedule · outpatient · +2 other terms | 4 | $233 | $233 | — | — | — | $233 – $233 |
| 5 | Medicare facility · fee schedule · outpatient · +1 other terms | 4 | $245 | $245 | — | — | — | $245 – $245 |
| 6 | Kaiser facility · fee schedule · outpatient | 3 | $248 | $248 | — | — | — | $248 – $248 |
| 7 | Medica facility · fee schedule · outpatient | 3 | $255 | $255 | — | — | — | $255 – $255 |
| 8 | UnitedHealthcare facility · fee schedule · outpatient · +1 other terms | 3 | $248 | $248 | — | — | — | $248 – $248 |
| 9 | Bcbs Ca facility · fee schedule · outpatient | 2 | $771 | $713 | $329 | 46% | — | $248 – $946 |
| 10 | MultiPlan facility · other · outpatient · +1 other terms | 2 | $196 | $196 | — | — | — | $196 – $196 |
| 11 | Tricare fee schedule · both · +1 other terms | 2 | $249 | $249 | $57 | 23% | — | $162 – $305 |
| 12 | Cigna fee schedule · both · +1 other terms | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 13 | Molina facility · fee schedule · outpatient | 1 | $277 | $277 | $28 | 10% | — | $248 – $305 |
| 14 | Optum fee schedule · both | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 15 | WellCare fee schedule · both | 1 | $305 | $305 | — | — | — | $305 – $305 |
← Hospitals reporting APC 09533 · Snapshot 20261111T120946Z-9134e7f7