APC 9504
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 deglycerolized
Low
$293
Average
$401
Median
$317
High
$1.2k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
214 hospitals; the 90th percentile is 2.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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214 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 2 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 3 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 4 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 5 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 6 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 7 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 8 | Bluffton Health System LLC Bluffton, IN facility · other · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 9 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC fee schedule · outpatient | 1 | $319 | $319 | — | — | — | $319 – $319 |
| 10 | CATHOLIC MEDICAL CENTER MANCHESTER, NH fee schedule · outpatient | 1 | $313 | $313 | — | — | — | $313 – $313 |
| 11 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 2 | $313 | $313 | — | — | — | $313 – $313 |
| 12 | CHIPPENHAM HOSPITAL RICHMOND, VA fee schedule · outpatient | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 13 | CORNING HOSPITAL Corning, NY facility · fee schedule · outpatient | 1 | $673 | $673 | — | — | — | $673 – $673 |
| 14 | Campbell County HMA, LLC LaFollette, TN facility · per diem · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 15 | Centennial Hills Las Vegas, NV fee schedule · outpatient | 2 | $899 | $899 | $245 | 27% | — | $654 – $1.1k |
| 16 | Cocke County HMA, LLC Newport, TN facility · per diem · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 17 | Corona Regional Medical Center Corona, CA fee schedule · outpatient | 1 | $667 | $667 | — | — | — | $667 – $667 |
| 18 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $330 | $330 | — | — | — | $330 – $330 |
| 19 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 20 | F.F. Thompson Hospital Canandaigua, NY case rate · outpatient | 1 | $313 | $313 | — | — | — | $313 – $313 |
| 21 | FAIRVIEW PARK HOSPITAL DUBLIN, GA fee schedule · outpatient | 1 | $316 | $316 | — | — | — | $316 – $316 |
| 22 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 23 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · fee schedule · outpatient | 1 | $673 | $673 | — | — | — | $673 – $673 |
| 24 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 25 | HCA FLORIDA AVENTURA HOSPITAL AVENTURA, FL fee schedule · outpatient | 1 | $322 | $322 | — | — | — | $322 – $322 |
← Payers reporting APC 9504 · Snapshot 20261111T120946Z-9134e7f7