APC 9528
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
Plt, aph/pher, l/r, cmv-n
Low
$119
Average
$283
Median
$257
High
$462
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 1.7× 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 | UnitedHealthcare fee schedule · outpatient · +4 other terms | 174 | $253 | $251 | $6 | 2% | — | $227 – $263 |
| 2 | Humana fee schedule · outpatient · +3 other terms | 161 | $250 | $260 | $72 | 28% | — | $227 – $1.0k |
| 3 | Aetna fee schedule · outpatient · +5 other terms | 155 | $253 | $256 | $26 | 10% | — | $227 – $398 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $258 | $260 | $10 | 4% | — | $227 – $331 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 126 | $250 | $255 | $50 | 20% | — | $227 – $768 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 122 | $250 | $251 | $1 | 0% | — | $250 – $263 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $261 | $255 | $7 | 3% | — | $250 – $271 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 69 | $369 | $356 | $139 | 39% | — | $227 – $656 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $263 | $263 | — | — | — | $263 – $263 |
| 10 | Anthem fee schedule · outpatient · +3 other terms | 31 | $250 | $248 | $11 | 4% | — | $227 – $258 |
| 11 | Oscar fee schedule · outpatient | 27 | $245 | $269 | $46 | 17% | — | $245 – $398 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $301 | $298 | $6 | 2% | — | $286 – $301 |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 15 | $256 | $248 | $16 | 6% | — | $227 – $271 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $263 | $263 | — | — | — | $263 – $263 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $256 | $252 | $8 | 3% | — | $232 – $256 |
| 16 | Ambetter case rate · outpatient · +3 other terms | 12 | $409 | $456 | $55 | 12% | — | $409 – $522 |
| 17 | Optum facility · per diem · outpatient · +2 other terms | 12 | $250 | $255 | $7 | 3% | — | $250 – $268 |
| 18 | Medicare facility · fee schedule · outpatient · +1 other terms | 9 | $246 | $248 | $2 | 1% | — | $246 – $250 |
| 19 | Tricare case rate · outpatient · +1 other terms | 7 | $216 | $216 | — | — | — | $216 – $216 |
| 20 | Excellus case rate · outpatient | 5 | $434 | $393 | $159 | 41% | — | $250 – $692 |
| 21 | Highmark case rate · outpatient · +1 other terms | 5 | $250 | $356 | $134 | 38% | — | $250 – $588 |
| 22 | Medica facility · fee schedule · outpatient | 5 | $256 | $257 | $1 | 0% | — | $256 – $259 |
| 23 | Sanford Health Plan case rate · outpatient | 3 | $329 | $332 | $34 | 10% | — | $275 – $379 |
| 24 | Magellan facility · fee schedule · outpatient · +1 other terms | 2 | $259 | $259 | — | — | — | $259 – $259 |
| 25 | Aetna Better Health facility · case rate · outpatient | 1 | $175 | $175 | $56 | 32% | — | $119 – $232 |
← Hospitals reporting APC 9528 · Snapshot 20261111T120946Z-9134e7f7