APC 9522
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 leukoreduced irradiated
Low
$134
Average
$632
Median
$349
High
$2.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
36 payers; the 90th percentile is 5.4× 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 · +1 other terms | 5 | $459 | $416 | $169 | 41% | 426–462 | $265 – $733 |
| 2 | Cigna other · outpatient · +6 other terms | 20 | $4.3k | $3.9k | $1.7k | 43% | 176–338 | $997 – $7.5k |
| 3 | Highmark case rate · outpatient · +2 other terms | 5 | $265 | $377 | $142 | 38% | 79 | $265 – $623 |
| 4 | Medical Mutual other · outpatient · +1 other terms | 3 | $12.3k | $16.4k | $20.3k | 124% | 5–50 | $688 – $53.0k |
| 5 | Ucare facility · other · outpatient | 3 | $1.2k | $1.1k | $115 | 10% | 3–30 | $974 – $1.2k |
| 6 | Bcbs Mi other · outpatient | 1 | $685 | $685 | — | — | 1–10 | $685 – $685 |
| 7 | Bcbs Mn other · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 8 | Healthpartners facility · other · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 9 | UnitedHealthcare fee schedule · outpatient · +7 other terms | 175 | $268 | $268 | $4 | 1% | — | $252 – $283 |
| 10 | Humana fee schedule · outpatient · +6 other terms | 162 | $265 | $276 | $76 | 27% | — | $252 – $1.1k |
| 11 | Aetna fee schedule · outpatient · +8 other terms | 156 | $268 | $273 | $31 | 11% | — | $252 – $448 |
| 12 | WellCare fee schedule · outpatient · +4 other terms | 132 | $273 | $276 | $10 | 3% | — | $256 – $350 |
| 13 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 126 | $265 | $272 | $49 | 18% | — | $256 – $773 |
| 14 | Devoted fee schedule · outpatient · +3 other terms | 122 | $265 | $265 | $1 | 0% | — | $265 – $279 |
| 15 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $276 | $270 | $8 | 3% | — | $265 – $287 |
| 16 | Molina fee schedule · outpatient · +5 other terms | 69 | $391 | $379 | $146 | 39% | — | $256 – $695 |
| 17 | Superior Healthplan fee schedule · outpatient | 40 | $279 | $279 | — | — | — | $279 – $279 |
| 18 | Anthem fee schedule · outpatient · +5 other terms | 31 | $265 | $266 | $6 | 2% | — | $256 – $273 |
| 19 | Oscar fee schedule · outpatient · +4 other terms | 28 | $269 | $304 | $103 | 34% | — | $260 – $750 |
| 20 | Medicare facility · fee schedule · outpatient · +1 other terms | 21 | $264 | $264 | $1 | 0% | — | $261 – $265 |
| 21 | Optum facility · per diem · outpatient · +4 other terms | 20 | $265 | $269 | $7 | 3% | — | $265 – $284 |
| 22 | Ambetter facility · fee schedule · outpatient · +5 other terms | 18 | $491 | $495 | $160 | 32% | — | $277 – $677 |
| 23 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $318 | $316 | $6 | 2% | — | $303 – $318 |
| 24 | Clover fee schedule · outpatient · +3 other terms | 15 | $279 | $279 | — | — | — | $279 – $279 |
| 25 | Kaiser fee schedule · outpatient · +4 other terms | 15 | $271 | $269 | $3 | 1% | — | $261 – $271 |
← Hospitals reporting APC 9522 · Snapshot 20261111T120946Z-9134e7f7