APC 9525

HLA-matched leukoreduced platelets, per 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

Platelets, hla-m, l/r, unit

Payers reporting APC 9525

Payer pricing summary

Low

$407

Average

$884

Median

$805

High

$1.4k

Payer rate distribution

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#
1	Excellus case rate · outpatient	5	$1.2k	$1.1k	$451	41%	40	$708 – $2.0k
2	Caresource other · outpatient · +2 other terms	2	$1.6k	$1.6k	$160	10%	27–36	$1.5k – $1.8k
3	UnitedHealthcare fee schedule · outpatient · +5 other terms	175	$715	$722	$25	3%	—	$705 – $860
4	Humana fee schedule · outpatient · +5 other terms	162	$708	$740	$202	27%	—	$680 – $2.8k
5	Aetna fee schedule · outpatient · +6 other terms	156	$715	$743	$111	15%	—	$701 – $1.4k
6	WellCare fee schedule · outpatient · +2 other terms	132	$729	$737	$27	4%	—	$708 – $935
7	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$722	$740	$144	19%	—	$694 – $2.2k
8	Devoted fee schedule · outpatient · +2 other terms	122	$708	$708	$2	0%	—	$708 – $743
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$736	$721	$20	3%	—	$708 – $765
10	Molina fee schedule · outpatient · +4 other terms	69	$1.0k	$1.0k	$385	38%	—	$722 – $1.9k
11	Superior Healthplan fee schedule · outpatient	40	$743	$743	—	—	—	$743 – $743
12	Anthem fee schedule · outpatient · +3 other terms	31	$722	$729	$28	4%	—	$708 – $793
13	Oscar fee schedule · outpatient	28	$719	$840	$342	41%	—	$694 – $2.3k
14	Amerihealth Caritas fee schedule · outpatient	17	$850	$842	$16	2%	—	$807 – $850
15	Cigna fee schedule · outpatient · +2 other terms	16	$765	$820	$222	27%	—	$722 – $1.7k
16	Clover fee schedule · outpatient · +2 other terms	15	$743	$743	—	—	—	$743 – $743
17	Kaiser fee schedule · outpatient · +2 other terms	15	$722	$730	$24	3%	—	$708 – $793
18	Ambetter case rate · outpatient · +3 other terms	12	$1.4k	$1.6k	$190	12%	—	$1.4k – $1.8k
19	Optum facility · per diem · outpatient · +3 other terms	12	$708	$720	$21	3%	—	$708 – $758
20	Medicare facility · fee schedule · outpatient · +1 other terms	9	$697	$702	$5	1%	—	$697 – $708
21	Tricare case rate · outpatient · +1 other terms	7	$739	$739	—	—	—	$739 – $739
22	Highmark case rate · outpatient · +1 other terms	5	$708	$1.0k	$378	38%	—	$708 – $1.7k
23	Medica facility · fee schedule · outpatient	5	$725	$727	$3	0%	—	$725 – $732
24	Sanford Health Plan case rate · outpatient	3	$1.1k	$1.1k	$115	10%	—	$942 – $1.3k
25	Aetna Better Health facility · case rate · outpatient	1	$600	$600	$193	32%	—	$407 – $793

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