APC 5243
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 3 Blood Product Exchange and Related Services
Low
$2.5k
Average
$5.7k
Median
$5.2k
High
$12.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
31 payers; the 90th percentile is 1.7× 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 | 5 | $12.4k | $12.4k | $3.2k | 26% | 104 | $7.7k – $18.1k |
| 2 | Bcbs Nj facility · other · outpatient | 1 | $4.6k | $4.6k | — | — | 1–10 | $4.6k – $4.6k |
| 3 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 175 | $4.5k | $4.5k | $215 | 5% | — | $3.9k – $5.6k |
| 4 | Humana fee schedule · outpatient · +5 other terms | 161 | $4.4k | $4.6k | $1.3k | 29% | — | $3.8k – $18.2k |
| 5 | Aetna fee schedule · outpatient · +5 other terms | 155 | $4.5k | $4.6k | $667 | 15% | — | $3.9k – $8.2k |
| 6 | WellCare fee schedule · outpatient · +3 other terms | 131 | $4.5k | $4.5k | $215 | 5% | — | $3.9k – $5.5k |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 126 | $4.5k | $4.6k | $891 | 19% | — | $3.8k – $13.5k |
| 8 | Devoted fee schedule · outpatient · +2 other terms | 122 | $4.4k | $4.4k | $124 | 3% | — | $3.8k – $4.6k |
| 9 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $4.6k | $4.5k | $190 | 4% | — | $4.4k – $4.9k |
| 10 | Molina fee schedule · outpatient · +5 other terms | 69 | $6.4k | $6.3k | $2.4k | 38% | — | $4.1k – $11.5k |
| 11 | Superior Healthplan fee schedule · outpatient | 40 | $4.6k | $4.6k | $3 | 0% | — | $4.6k – $4.6k |
| 12 | Anthem fee schedule · outpatient · +3 other terms | 31 | $4.6k | $4.6k | $250 | 5% | — | $4.1k – $5.6k |
| 13 | Oscar fee schedule · outpatient · +3 other terms | 27 | $4.3k | $4.9k | $1.2k | 24% | — | $4.3k – $8.2k |
| 14 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $5.9k | $5.7k | $445 | 8% | — | $4.7k – $5.9k |
| 15 | Cigna fee schedule · outpatient · +4 other terms | 16 | $4.4k | $4.9k | $526 | 11% | — | $4.2k – $5.6k |
| 16 | Medicare facility · fee schedule · outpatient · +2 other terms | 16 | $4.5k | $4.6k | $1.0k | 22% | — | $1.7k – $5.5k |
| 17 | Clover fee schedule · outpatient · +3 other terms | 15 | $4.6k | $4.4k | $219 | 5% | — | $4.0k – $4.6k |
| 18 | Kaiser fee schedule · outpatient · +3 other terms | 15 | $4.7k | $4.7k | $40 | 1% | — | $4.6k – $4.8k |
| 19 | Ambetter case rate · outpatient · +4 other terms | 12 | $7.8k | $9.0k | $1.5k | 17% | — | $7.7k – $10.8k |
| 20 | Optum fee schedule · outpatient · +3 other terms | 8 | $4.4k | $6.6k | $3.1k | 47% | — | $4.4k – $10.9k |
| 21 | Tricare case rate · outpatient · +2 other terms | 7 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 22 | Highmark case rate · outpatient · +2 other terms | 5 | $5.4k | $7.7k | $2.9k | 38% | — | $5.4k – $12.8k |
| 23 | Medica facility · fee schedule · outpatient | 5 | $4.7k | $4.7k | $35 | 1% | — | $4.6k – $4.7k |
| 24 | Sanford Health Plan case rate · outpatient | 3 | $6.8k | $6.8k | $693 | 10% | — | $5.7k – $7.8k |
| 25 | Aetna Better Health facility · case rate · outpatient · +1 other terms | 1 | $3.6k | $3.6k | $1.2k | 32% | — | $2.5k – $4.8k |
← Hospitals reporting APC 5243 · Snapshot 20261111T120946Z-9134e7f7