APC 9517

Red blood cell transfusion unit

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

Red blood cells unit

Payers reporting APC 9517

Payer pricing summary

Low

$75

Average

$181

Median

$154

High

$354

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +5 other terms	175	$152	$152	$2	1%	—	$137 – $160
2	Humana fee schedule · outpatient · +5 other terms	162	$151	$156	$43	27%	—	$137 – $602
3	Aetna fee schedule · outpatient · +5 other terms	156	$152	$155	$17	11%	—	$137 – $253
4	WellCare fee schedule · outpatient · +2 other terms	132	$155	$156	$5	4%	—	$144 – $199
5	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	126	$151	$154	$26	17%	—	$144 – $418
6	Devoted fee schedule · outpatient · +3 other terms	122	$151	$151	$0	0%	—	$151 – $158
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$157	$153	$4	3%	—	$151 – $163
8	Molina fee schedule · outpatient · +4 other terms	69	$222	$215	$83	39%	—	$144 – $394
9	Superior Healthplan fee schedule · outpatient	40	$158	$158	—	—	—	$158 – $158
10	Anthem fee schedule · outpatient · +3 other terms	31	$151	$151	$4	2%	—	$144 – $155
11	Oscar fee schedule · outpatient · +3 other terms	28	$153	$172	$58	33%	—	$148 – $423
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$181	$179	$3	2%	—	$172 – $181
13	Medicare facility · fee schedule · outpatient · +1 other terms	17	$150	$150	$1	1%	—	$148 – $151
14	Optum facility · per diem · outpatient · +4 other terms	17	$151	$153	$5	3%	—	$151 – $161
15	Cigna fee schedule · outpatient · +2 other terms	16	$154	$162	$39	24%	—	$144 – $314
16	Clover fee schedule · outpatient · +3 other terms	15	$158	$158	—	—	—	$158 – $158
17	Kaiser fee schedule · outpatient · +2 other terms	15	$154	$153	$2	1%	—	$147 – $154
18	Ambetter facility · fee schedule · outpatient · +3 other terms	14	$279	$273	$70	26%	—	$157 – $384
19	Tricare case rate · outpatient · +1 other terms	7	$137	$137	—	—	—	$137 – $137
20	Excellus case rate · outpatient	5	$261	$236	$96	41%	—	$151 – $416
21	Highmark case rate · outpatient · +2 other terms	5	$151	$214	$80	38%	—	$151 – $354
22	Medica facility · fee schedule · outpatient	5	$154	$155	$1	0%	—	$154 – $156
23	Bcbs Nj facility · other · outpatient	3	$151	$151	—	—	—	$151 – $151
24	Sanford Health Plan case rate · outpatient	3	$209	$211	$21	10%	—	$175 – $241
25	Caresource facility · fee schedule · outpatient	2	$163	$152	$6	4%	—	$151 – $196

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