APC 9536

Platelet pheresis, pathology review

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 pheresis path redu

Payers reporting APC 9536

Payer pricing summary

Low

$307

Average

$1.5k

Median

$919

High

$5.0k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	5	$1.1k	$953	$386	41%	337–364	$607 – $1.7k
2	Cigna other · outpatient · +6 other terms	29	$6.2k	$10.7k	$18.5k	172%	195–456	$1.2k – $107.2k
3	Optum other · outpatient · +4 other terms	10	$6.6k	$19.3k	$31.1k	161%	142–250	$2.4k – $94.7k
4	Medical Mutual other · outpatient · +3 other terms	6	$1.8k	$5.8k	$7.4k	129%	9–90	$623 – $23.9k
5	Caresource other · outpatient · +2 other terms	4	$528	$919	$797	87%	4–40	$341 – $2.3k
6	Highmark facility · other · outpatient · +2 other terms	6	$948	$1.3k	$998	80%	3–30	$97 – $3.9k
7	Phcs facility · percent of total billed charges · outpatientfrom % of charges	2	$4.4k	$4.4k	$2.4k	55%	2–20	$1.9k – $6.8k
8	UnitedHealthcare fee schedule · outpatient · +8 other terms	174	$614	$612	$8	1%	—	$551 – $638
9	Humana fee schedule · outpatient · +6 other terms	161	$607	$631	$173	27%	—	$551 – $2.4k
10	Aetna fee schedule · outpatient · +6 other terms	155	$614	$625	$71	11%	—	$551 – $1.0k
11	WellCare fee schedule · outpatient · +4 other terms	131	$626	$631	$22	3%	—	$587 – $802
12	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	126	$607	$621	$103	17%	—	$587 – $1.7k
13	Devoted fee schedule · outpatient · +3 other terms	122	$607	$608	$2	0%	—	$607 – $638
14	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$632	$618	$17	3%	—	$607 – $656
15	Molina fee schedule · outpatient · +5 other terms	69	$894	$868	$335	39%	—	$587 – $1.6k
16	Superior Healthplan fee schedule · outpatient	40	$638	$638	—	—	—	$638 – $638
17	Anthem fee schedule · outpatient · +4 other terms	31	$607	$608	$13	2%	—	$587 – $626
18	Oscar fee schedule · outpatient · +4 other terms	27	$595	$659	$132	20%	—	$595 – $1.0k
19	Medicare facility · fee schedule · outpatient · +2 other terms	22	$604	$605	$8	1%	—	$598 – $637
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$729	$722	$14	2%	—	$692 – $729
21	Clover fee schedule · outpatient · +3 other terms	15	$638	$638	—	—	—	$638 – $638
22	Kaiser fee schedule · outpatient · +4 other terms	15	$620	$616	$7	1%	—	$599 – $620
23	Ambetter case rate · outpatient · +4 other terms	12	$1.1k	$1.2k	$143	12%	—	$1.1k – $1.3k
24	Tricare case rate · outpatient · +1 other terms	7	$558	$558	—	—	—	$558 – $558
25	Medica facility · fee schedule · outpatient	5	$622	$624	$3	0%	—	$622 – $628

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