APC 9520

Blood product processing (split 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

Blood split unit

Payers reporting APC 9520

Payer pricing summary

Low

$74

Average

$183

Median

$160

High

$368

Payer rate distribution

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#
1	Excellus case rate · outpatient	5	$270	$244	$99	41%	42	$156 – $430
2	UnitedHealthcare fee schedule · outpatient · +6 other terms	175	$157	$156	$4	2%	—	$142 – $164
3	Humana fee schedule · outpatient · +3 other terms	162	$156	$161	$45	28%	—	$142 – $623
4	Aetna fee schedule · outpatient · +5 other terms	156	$157	$159	$16	10%	—	$142 – $248
5	WellCare fee schedule · outpatient · +2 other terms	132	$161	$162	$6	4%	—	$142 – $206
6	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$156	$158	$29	18%	—	$142 – $456
7	Devoted fee schedule · outpatient · +3 other terms	122	$156	$156	$0	0%	—	$156 – $164
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$162	$159	$4	3%	—	$156 – $168
9	Molina fee schedule · outpatient · +3 other terms	69	$229	$221	$87	39%	—	$142 – $408
10	Superior Healthplan fee schedule · outpatient	40	$164	$164	—	—	—	$164 – $164
11	Anthem fee schedule · outpatient · +3 other terms	31	$156	$154	$7	4%	—	$142 – $161
12	Oscar fee schedule · outpatient · +2 other terms	28	$158	$176	$54	31%	—	$153 – $416
13	Ambetter facility · fee schedule · outpatient · +3 other terms	27	$233	$289	$72	25%	—	$177 – $397
14	Optum facility · per diem · outpatient · +3 other terms	19	$156	$158	$4	3%	—	$156 – $167
15	Amerihealth Caritas fee schedule · outpatient	17	$187	$185	$4	2%	—	$178 – $187
16	Cigna fee schedule · outpatient · +2 other terms	16	$159	$163	$38	23%	—	$142 – $309
17	Clover fee schedule · outpatient · +3 other terms	15	$164	$164	—	—	—	$164 – $164
18	Kaiser fee schedule · outpatient · +1 other terms	15	$159	$157	$5	3%	—	$145 – $159
19	Medicare facility · fee schedule · outpatient · +1 other terms	14	$153	$154	$1	0%	—	$153 – $156
20	Tricare facility · fee schedule · outpatient · +1 other terms	14	$155	$154	$11	7%	—	$142 – $172
21	Highmark facility · fee schedule · outpatient · +1 other terms	11	$285	$278	$115	42%	—	$153 – $438
22	Medica facility · fee schedule · outpatient	5	$159	$160	$1	0%	—	$159 – $161
23	Sanford Health Plan case rate · outpatient	3	$205	$207	$21	10%	—	$172 – $237
24	Caresource facility · fee schedule · outpatient	2	$196	$157	$9	6%	—	$156 – $300
25	Magellan facility · fee schedule · outpatient · +1 other terms	2	$161	$161	—	—	—	$161 – $161

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