APC 5242
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
Level 2 Blood Product Exchange and Related Services
Low
$857
Average
$6.4k
Median
$2.6k
High
$106.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
35 payers; the 90th percentile is 4.6× 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 | Excellus case rate · outpatient · +1 other terms | 5 | $4.4k | $4.4k | $1.1k | 26% | 89–98 | $2.7k – $6.5k |
| 2 | Medical Mutual facility · other · outpatient · +2 other terms | 2 | $8.1k | $7.8k | $3.7k | 48% | 3–30 | $2.7k – $11.4k |
| 3 | MultiPlan other · outpatient | 2 | $12.0k | $12.0k | — | — | 2–20 | $12.0k – $12.0k |
| 4 | First Health other · outpatient · +1 other terms | 1 | $31.1k | $31.1k | — | — | 1–10 | $31.1k – $31.1k |
| 5 | Phcs facility · percent of total billed charges · outpatientfrom % of charges | 1 | $106.8k | $106.8k | — | — | 1–10 | $106.8k – $106.8k |
| 6 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 176 | $1.6k | $1.6k | $94 | 6% | — | $1.4k – $2.0k |
| 7 | Humana fee schedule · outpatient · +6 other terms | 162 | $1.6k | $1.6k | $471 | 29% | — | $1.4k – $6.5k |
| 8 | Aetna fee schedule · outpatient · +7 other terms | 156 | $1.6k | $1.6k | $226 | 14% | — | $1.4k – $2.9k |
| 9 | WellCare fee schedule · outpatient · +4 other terms | 132 | $1.6k | $1.6k | $76 | 5% | — | $1.4k – $2.0k |
| 10 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 126 | $1.6k | $1.6k | $286 | 17% | — | $1.4k – $4.5k |
| 11 | Devoted fee schedule · outpatient · +3 other terms | 122 | $1.6k | $1.6k | $44 | 3% | — | $1.4k – $1.6k |
| 12 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $1.6k | $1.6k | $68 | 4% | — | $1.6k – $1.7k |
| 13 | Molina fee schedule · outpatient · +5 other terms | 69 | $2.3k | $2.2k | $857 | 38% | — | $1.5k – $4.1k |
| 14 | Superior Healthplan fee schedule · outpatient | 40 | $1.6k | $1.6k | $1 | 0% | — | $1.6k – $1.6k |
| 15 | Anthem fee schedule · outpatient · +4 other terms | 31 | $1.6k | $1.6k | $87 | 5% | — | $1.5k – $2.0k |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 28 | $1.6k | $2.0k | $921 | 45% | — | $1.5k – $4.5k |
| 17 | Medicare facility · fee schedule · outpatient · +2 other terms | 20 | $1.6k | $2.4k | $1.6k | 68% | — | $621 – $6.0k |
| 18 | Ambetter facility · fee schedule · outpatient · +5 other terms | 17 | $2.6k | $2.9k | $2.1k | 74% | — | $708 – $7.3k |
| 19 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $2.1k | $2.0k | $159 | 8% | — | $1.7k – $2.1k |
| 20 | Cigna fee schedule · outpatient · +6 other terms | 17 | $1.6k | $1.9k | $597 | 32% | — | $1.5k – $3.6k |
| 21 | Optum facility · per diem · outpatient · +4 other terms | 16 | $1.6k | $1.6k | $66 | 4% | — | $1.4k – $1.8k |
| 22 | Clover fee schedule · outpatient · +3 other terms | 15 | $1.6k | $1.6k | $78 | 5% | — | $1.4k – $1.6k |
| 23 | Kaiser fee schedule · outpatient · +4 other terms | 15 | $1.7k | $1.7k | $8 | 0% | — | $1.6k – $1.7k |
| 24 | Tricare case rate · outpatient · +2 other terms | 7 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Highmark case rate · outpatient · +2 other terms | 5 | $1.9k | $2.8k | $1.0k | 38% | — | $1.9k – $4.6k |
← Hospitals reporting APC 5242 · Snapshot 20261111T120946Z-9134e7f7