APC 9533
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
RBC, l/r, cmv-neg, irrad
Low
$117
Average
$286
Median
$258
High
$460
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 1.8× 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 · +5 other terms | 174 | $252 | $250 | $7 | 3% | — | $223 – $262 |
| 2 | Humana fee schedule · outpatient · +4 other terms | 161 | $249 | $258 | $71 | 28% | — | $223 – $998 |
| 3 | Aetna fee schedule · outpatient · +6 other terms | 155 | $252 | $254 | $25 | 10% | — | $223 – $390 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $257 | $259 | $10 | 4% | — | $223 – $329 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 126 | $249 | $253 | $48 | 19% | — | $223 – $740 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 122 | $249 | $249 | $1 | 0% | — | $249 – $262 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $259 | $254 | $7 | 3% | — | $249 – $269 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 69 | $367 | $354 | $139 | 39% | — | $223 – $653 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $262 | $262 | — | — | — | $262 – $262 |
| 10 | Anthem fee schedule · outpatient · +3 other terms | 31 | $249 | $246 | $12 | 5% | — | $223 – $257 |
| 11 | Oscar fee schedule · outpatient · +1 other terms | 27 | $244 | $267 | $44 | 17% | — | $244 – $390 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $299 | $297 | $6 | 2% | — | $284 – $299 |
| 13 | Cigna fee schedule · outpatient · +4 other terms | 15 | $254 | $246 | $18 | 7% | — | $223 – $269 |
| 14 | Clover fee schedule · outpatient · +3 other terms | 15 | $262 | $262 | — | — | — | $262 – $262 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $254 | $251 | $9 | 4% | — | $227 – $254 |
| 16 | Ambetter case rate · outpatient · +3 other terms | 12 | $401 | $447 | $54 | 12% | — | $401 – $511 |
| 17 | Optum facility · per diem · outpatient · +2 other terms | 12 | $249 | $253 | $7 | 3% | — | $249 – $267 |
| 18 | Medicare facility · fee schedule · outpatient · +1 other terms | 11 | $245 | $247 | $2 | 1% | — | $245 – $249 |
| 19 | Tricare case rate · outpatient · +1 other terms | 7 | $212 | $212 | — | — | — | $212 – $212 |
| 20 | Excellus case rate · outpatient | 5 | $432 | $391 | $159 | 41% | — | $249 – $689 |
| 21 | Highmark case rate · outpatient · +1 other terms | 5 | $249 | $355 | $133 | 38% | — | $249 – $586 |
| 22 | Medica facility · fee schedule · outpatient | 5 | $255 | $256 | $1 | 0% | — | $255 – $258 |
| 23 | Sanford Health Plan case rate · outpatient | 3 | $323 | $325 | $33 | 10% | — | $270 – $372 |
| 24 | Magellan facility · fee schedule · outpatient · +1 other terms | 2 | $258 | $258 | — | — | — | $258 – $258 |
| 25 | Aetna Better Health facility · case rate · outpatient | 1 | $172 | $172 | $55 | 32% | — | $117 – $227 |
← Hospitals reporting APC 9533 · Snapshot 20261111T120946Z-9134e7f7