APC 9531
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, pher, l/r cmv-neg, irr
Low
$240
Average
$572
Median
$522
High
$938
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 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 | $508 | $506 | $12 | 2% | — | $459 – $529 |
| 2 | Humana fee schedule · outpatient · +4 other terms | 161 | $503 | $522 | $144 | 28% | — | $459 – $2.0k |
| 3 | Aetna fee schedule · outpatient · +5 other terms | 155 | $508 | $514 | $53 | 10% | — | $459 – $804 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $519 | $523 | $19 | 4% | — | $459 – $665 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 126 | $503 | $513 | $105 | 21% | — | $459 – $1.6k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $503 | $504 | $2 | 0% | — | $503 – $529 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $524 | $513 | $14 | 3% | — | $503 – $544 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 69 | $741 | $716 | $280 | 39% | — | $459 – $1.3k |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $529 | $529 | — | — | — | $529 – $529 |
| 10 | Anthem fee schedule · outpatient · +3 other terms | 31 | $503 | $498 | $21 | 4% | — | $459 – $519 |
| 11 | Oscar fee schedule · outpatient | 27 | $493 | $541 | $94 | 17% | — | $493 – $804 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $604 | $599 | $12 | 2% | — | $574 – $604 |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 15 | $514 | $500 | $31 | 6% | — | $459 – $544 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $529 | $529 | — | — | — | $529 – $529 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $514 | $507 | $15 | 3% | — | $468 – $514 |
| 16 | Optum facility · per diem · outpatient · +2 other terms | 13 | $503 | $514 | $16 | 3% | — | $503 – $539 |
| 17 | Ambetter case rate · outpatient · +3 other terms | 12 | $827 | $921 | $112 | 12% | — | $827 – $1.1k |
| 18 | Medicare case rate · outpatient · +1 other terms | 8 | $459 | $459 | — | — | — | $459 – $459 |
| 19 | Tricare case rate · outpatient · +1 other terms | 7 | $436 | $436 | — | — | — | $436 – $436 |
| 20 | Excellus case rate · outpatient | 5 | $871 | $789 | $320 | 41% | — | $503 – $1.4k |
| 21 | Highmark case rate · outpatient · +1 other terms | 5 | $503 | $716 | $268 | 38% | — | $503 – $1.2k |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $665 | $670 | $68 | 10% | — | $556 – $766 |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $354 | $354 | $114 | 32% | — | $240 – $468 |
| 24 | Bcbs Al facility · fee schedule · outpatient | 1 | $495 | $495 | — | — | — | $495 – $495 |
| 25 | Caresource facility · fee schedule · outpatient | 1 | $505 | $505 | — | — | — | $505 – $505 |
← Hospitals reporting APC 9531 · Snapshot 20261111T120946Z-9134e7f7