APC 9523

Plasma with cryoprecipitate removed

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

Cryoprecipitatereducedplasma

Optum pricing summary

Low

$128

Average

$187

Median

$132

High

$660

Optum rate distribution

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36 hospital rates

#		Plans
1	Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient	1	$132	$132	—	—	—	$132 – $132
2	Bluffton Health System LLC Bluffton, IN facility · per diem · outpatient	1	$132	$132	—	—	—	$132 – $132
3	Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient	1	$141	$141	—	—	—	$141 – $141
4	Cocke County HMA, LLC Newport, TN facility · per diem · outpatient	1	$141	$141	—	—	—	$141 – $141
5	Dupont Hospital LLC Wayne, IN facility · per diem · outpatient	1	$132	$132	—	—	—	$132 – $132
6	HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA fee schedule · outpatient	1	$132	$132	—	—	—	$132 – $132
7	IOM Health System LP Fort Wayne, IN facility · per diem · outpatient	1	$132	$132	—	—	—	$132 – $132
8	Jefferson County HMA LLC Jefferson City, TN facility · per diem · outpatient	1	$132	$132	—	—	—	$132 – $132
9	Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient	1	$128	$128	—	—	—	$128 – $128
10	Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient	1	$133	$133	—	—	—	$133 – $133
11	Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient	1	$133	$133	—	—	—	$133 – $133
12	Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · outpatient	1	$145	$145	—	—	—	$145 – $145
13	Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · outpatient	1	$145	$145	—	—	—	$145 – $145
14	La Porte Hospital Company LLC La Porte, IN facility · per diem · outpatient	1	$132	$132	—	—	—	$132 – $132
15	Lansdale Hospital Corp Lansdale, PA facility · fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
16	Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · per diem · outpatient	1	$132	$132	—	—	—	$132 – $132
17	METHODIST HOSPITAL HELOTES, TX fee schedule · outpatient	1	$330	$330	—	—	—	$330 – $330
18	METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX fee schedule · outpatient	1	$330	$330	—	—	—	$330 – $330
19	Magee Rehabilitation Hospital Philadelphia, PA facility · fee schedule · outpatient	1	$135	$135	—	—	—	$135 – $135
20	Metro Knoxville HMA LLC Powell, TN facility · per diem · outpatient	1	$132	$132	—	—	—	$132 – $132
21	Metro Knoxville HMA LLC Knoxville, TN facility · per diem · outpatient	1	$132	$132	—	—	—	$132 – $132
22	PARHAM DOCTORS HOSPITAL Richmond, VA fee schedule · outpatient	1	$132	$132	—	—	—	$132 – $132
23	Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · other · outpatient	1	$660	$660	—	—	—	$660 – $660
24	Porter Hospital LLC Valparaiso, IN facility · per diem · outpatient	1	$132	$132	—	—	—	$132 – $132
25	Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · other · outpatient	1	$660	$660	—	—	—	$660 – $660