APC 09536

Platelet apheresis transfusion, pathogen-reduced

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

HC PLATELETS PHERESIS PATHOGENREDUCED EACH

Payers reporting APC 09536

Payer pricing summary

Low

$599

Average

$886

Median

$658

High

$2.1k

Payer rate distribution

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#
1	Medical Mutual facility · other · outpatient	2	$2.1k	$2.1k	$175	9%	2–20	$1.9k – $2.2k
2	Humana fee schedule · outpatient · +2 other terms	86	$589	$589	$22	4%	—	$456 – $622
3	Caresource fee schedule · outpatient · +1 other terms	20	$607	$609	$4	1%	—	$607 – $616
4	Aetna facility · fee schedule · outpatient · +4 other terms	12	$598	$625	$100	16%	—	$568 – $960
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	11	$607	$602	$5	1%	—	$598 – $607
6	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	9	$607	$1.2k	$1.0k	84%	—	$598 – $3.3k
7	Medicare facility · fee schedule · outpatient · +2 other terms	6	$598	$598	—	—	—	$598 – $598
8	Anthem facility · fee schedule · outpatient	5	$2.1k	$1.9k	$792	42%	—	$598 – $2.9k
9	Clover fee schedule · outpatient	5	$627	$627	—	—	—	$627 – $627
10	Kaiser fee schedule · outpatient · +1 other terms	5	$616	$616	—	—	—	$616 – $616
11	WellCare fee schedule · outpatient · +2 other terms	5	$616	$616	—	—	—	$616 – $616
12	Devoted facility · fee schedule · outpatient	4	$607	$624	$34	6%	—	$598 – $683
13	Tricare facility · fee schedule · outpatient · +1 other terms	4	$607	$607	—	—	—	$607 – $607
14	Ambetter facility · fee schedule · outpatient	3	$1.1k	$1.1k	$100	10%	—	$911 – $1.1k
15	Bcbs Mi facility · fee schedule · outpatient	3	$598	$600	$4	1%	—	$598 – $607
16	Carefirst facility · fee schedule · outpatient	3	$607	$604	$5	1%	—	$598 – $607
17	Medica facility · fee schedule · outpatient	3	$622	$622	—	—	—	$622 – $622
18	Molina facility · fee schedule · outpatient	3	$818	$774	$198	26%	—	$598 – $1.0k
19	Amerihealth Caritas facility · fee schedule · outpatient	2	$957	$957	$349	37%	—	$607 – $1.3k
20	Bcbs Ca facility · fee schedule · outpatient	2	$1.9k	$1.7k	$801	46%	—	$604 – $2.3k
21	Cigna facility · fee schedule · outpatient · +1 other terms	2	$1.8k	$1.8k	$666	36%	—	$627 – $2.4k
22	MultiPlan facility · other · outpatient	2	$625	$625	—	—	—	$625 – $625
23	Aetna Better Health facility · fee schedule · outpatient	1	$616	$616	—	—	—	$616 – $616
24	Optum fee schedule · both	1	$742	$742	—	—	—	$742 – $742
25	Oscar facility · fee schedule · outpatient	1	$976	$976	—	—	—	$976 – $976