APC 9526
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
Platelets leukocytes reduced
Low
$135
Average
$191
Median
$144
High
$721
Each hospital's average Optum rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 2.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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27 hospital rates
iThe hospitals that file a Optum rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bluffton Health System LLC Bluffton, IN facility · per diem · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 2 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 3 | Cocke County HMA, LLC Newport, TN facility · per diem · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 4 | Dupont Hospital LLC Wayne, IN facility · per diem · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 5 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 6 | HMA Santa Rosa Medical Center LLC Milton, FL facility · per diem · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 7 | IOM Health System LP Fort Wayne, IN facility · per diem · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 8 | Jefferson County HMA LLC Jefferson City, TN facility · per diem · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 9 | Key West HMA LLC FL 33040; 1200 Kennedy Dr. Key West, FL facility · fee schedule · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 10 | La Porte Hospital Company LLC La Porte, IN facility · per diem · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 11 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · per diem · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 12 | METHODIST HOSPITAL HELOTES, TX fee schedule · outpatient | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 13 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX fee schedule · outpatient | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 14 | Metro Knoxville HMA LLC Powell, TN facility · per diem · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 15 | Metro Knoxville HMA LLC Knoxville, TN facility · per diem · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 16 | PARHAM DOCTORS HOSPITAL Richmond, VA fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 17 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · other · outpatient | 1 | $721 | $721 | — | — | — | $721 – $721 |
| 18 | Poplar Bluff Regional Medical Center LLC Poplar Bluff, MO facility · per diem · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 19 | RESEARCH MEDICAL CENTER KANSAS CITY, MO fee schedule · outpatient | 2 | $135 | $135 | $9 | 7% | — | $126 – $144 |
| 20 | RETREAT DOCTORS HOSPITAL RICHMOND, VA fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 21 | ST. DAVID'S NORTH AUSTIN MEDICAL CENTER AUSTIN, TX fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 22 | ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER AUSTIN, TX fee schedule · outpatient | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 23 | St. Joseph Health System, LLC Wayne, IN facility · per diem · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 24 | Triad of Alabama LLC Dothan, AL facility · fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 25 | Vanderbilt Clarksville Hospital Clarksville, TN other · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
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