APC 9504

Deglycerolized red blood cells

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

RBC deglycerolized

Payers reporting APC 9504

Payer pricing summary

Low

$308

Average

$454

Median

$365

High

$954

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +5 other terms	175	$316	$345	$97	28%	—	$311 – $723
2	Humana fee schedule · outpatient · +5 other terms	162	$313	$342	$113	33%	—	$300 – $1.3k
3	Aetna fee schedule · outpatient · +5 other terms	156	$316	$376	$170	45%	—	$310 – $1.1k
4	WellCare fee schedule · outpatient · +2 other terms	132	$322	$331	$47	14%	—	$313 – $700
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$319	$372	$131	35%	—	$307 – $952
6	Devoted fee schedule · outpatient · +3 other terms	122	$313	$313	$1	0%	—	$313 – $329
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$326	$319	$9	3%	—	$313 – $338
8	Molina fee schedule · outpatient · +4 other terms	69	$498	$491	$191	39%	—	$319 – $981
9	Superior Healthplan fee schedule · outpatient	40	$329	$329	—	—	—	$329 – $329
10	Anthem fee schedule · outpatient · +3 other terms	31	$319	$388	$139	36%	—	$313 – $667
11	Oscar fee schedule · outpatient · +3 other terms	28	$318	$462	$379	82%	—	$307 – $1.9k
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$376	$372	$7	2%	—	$357 – $376
13	Cigna fee schedule · outpatient · +4 other terms	16	$338	$516	$275	53%	—	$319 – $1.4k
14	Medicare facility · fee schedule · outpatient · +1 other terms	16	$310	$310	$2	1%	—	$308 – $313
15	Clover fee schedule · outpatient · +3 other terms	15	$329	$329	—	—	—	$329 – $329
16	Kaiser fee schedule · outpatient · +1 other terms	15	$319	$362	$115	32%	—	$313 – $667
17	Ambetter case rate · outpatient · +3 other terms	12	$1.2k	$1.3k	$160	12%	—	$1.2k – $1.5k
18	Optum facility · per diem · outpatient · +3 other terms	12	$313	$320	$10	3%	—	$313 – $335
19	Tricare case rate · outpatient · +1 other terms	7	$621	$621	—	—	—	$621 – $621
20	Excellus case rate · outpatient	5	$542	$491	$199	41%	—	$313 – $864
21	Highmark case rate · outpatient · +1 other terms	5	$313	$445	$167	38%	—	$313 – $735
22	Medica facility · fee schedule · outpatient	5	$320	$322	$2	0%	—	$320 – $323
23	Sanford Health Plan case rate · outpatient	3	$947	$954	$97	10%	—	$792 – $1.1k
24	Caresource facility · fee schedule · outpatient	2	$339	$354	$44	12%	—	$314 – $407
25	Aetna Better Health facility · case rate · outpatient	1	$504	$504	$162	32%	—	$342 – $667

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