APC 9540

COVID-19 convalescent plasma

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

Covid-19 convalescent pla

Payers reporting APC 9540

Payer pricing summary

Low

$223

Average

$729

Median

$690

High

$1.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$687	$667	$69	10%	—	$426 – $714
2	Humana fee schedule · outpatient · +3 other terms	161	$680	$696	$202	29%	—	$426 – $2.7k
3	Aetna fee schedule · outpatient · +5 other terms	155	$686	$665	$77	12%	—	$426 – $748
4	WellCare fee schedule · outpatient · +2 other terms	131	$700	$703	$40	6%	—	$426 – $898
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$680	$658	$121	18%	—	$426 – $1.5k
6	Devoted fee schedule · outpatient · +2 other terms	122	$680	$680	$2	0%	—	$680 – $714
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$707	$692	$19	3%	—	$680 – $734
8	Molina fee schedule · outpatient · +4 other terms	69	$1.0k	$942	$401	43%	—	$426 – $1.8k
9	Superior Healthplan fee schedule · outpatient	40	$714	$714	—	—	—	$714 – $714
10	Anthem fee schedule · outpatient · +3 other terms	31	$680	$632	$107	17%	—	$426 – $700
11	Oscar fee schedule · outpatient · +2 other terms	27	$666	$693	$29	4%	—	$666 – $745
12	Ambetter facility · fee schedule · outpatient · +3 other terms	18	$992	$1.1k	$142	13%	—	$954 – $1.3k
13	Amerihealth Caritas fee schedule · outpatient	17	$816	$809	$16	2%	—	$775 – $816
14	Cigna fee schedule · outpatient · +2 other terms	15	$694	$597	$136	23%	—	$426 – $734
15	Clover fee schedule · outpatient · +2 other terms	15	$714	$714	—	—	—	$714 – $714
16	Kaiser fee schedule · outpatient · +1 other terms	15	$694	$660	$86	13%	—	$434 – $694
17	Optum facility · per diem · outpatient · +2 other terms	12	$680	$692	$21	3%	—	$680 – $728
18	Tricare facility · fee schedule · outpatient · +1 other terms	12	$671	$585	$137	23%	—	$426 – $749
19	Highmark facility · fee schedule · outpatient · +1 other terms	9	$1.2k	$1.2k	$501	40%	—	$667 – $1.9k
20	Medicare case rate · outpatient · +1 other terms	8	$426	$426	—	—	—	$426 – $426
21	Excellus case rate · outpatient	5	$1.2k	$1.1k	$433	41%	—	$680 – $1.9k
22	Sanford Health Plan case rate · outpatient	3	$617	$621	$63	10%	—	$516 – $710
23	Magellan facility · fee schedule · outpatient · +1 other terms	2	$703	$703	—	—	—	$703 – $703
24	Aetna Better Health facility · case rate · outpatient	1	$328	$328	$106	32%	—	$223 – $434
25	Caresource facility · fee schedule · outpatient	1	$682	$682	—	—	—	$682 – $682

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