Pooling of blood platelets or products

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

HC BLOOD PRODUCT POOL

Payers reporting CPT 86965

Payer pricing summary

Low

$43

Average

$179

Median

$170

High

$502

Payer rate distribution

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#
1	Anthem fee schedule · outpatient · +26 other terms	154	$161	$178	$260	146%	2–20	$1 – $1.2k
2	Wellmark case rate · outpatient · +12 other terms	13	$162	$184	$58	32%	2–20	$127 – $330
3	UnitedHealthcare fee schedule · outpatient · +31 other terms	735	$149	$164	$165	101%	1–10	$1 – $5.0k
4	Aetna fee schedule · outpatient · +27 other terms	560	$165	$184	$397	215%	—	$0 – $8.4k
5	Cigna fee schedule · outpatient · +25 other terms	480	$100	$114	$102	90%	—	$0 – $881
6	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	418	$183	$217	$192	88%	—	$1 – $1.3k
7	Humana fee schedule · outpatient · +25 other terms	365	$166	$136	$82	60%	—	$1 – $500
8	Molina fee schedule · outpatient · +26 other terms	173	$172	$166	$103	62%	—	$1 – $463
9	WellCare fee schedule · outpatient · +18 other terms	160	$171	$156	$85	55%	—	$23 – $402
10	MultiPlan fee schedule · outpatient · +19 other terms	96	$169	$170	$91	53%	—	$1 – $701
11	Kaiser fee schedule · outpatient · +18 other terms	88	$245	$313	$224	72%	—	$5 – $1.2k
12	Ambetter facility · fee schedule · outpatient · +15 other terms	85	$301	$384	$668	174%	—	$161 – $7.1k
13	Devoted facility · fee schedule · outpatient · +13 other terms	84	$171	$219	$455	208%	—	$80 – $4.9k
14	Tricare facility · fee schedule · outpatient · +18 other terms	63	$171	$247	$608	246%	—	$74 – $5.7k
15	Oscar facility · fee schedule · outpatient · +14 other terms	62	$249	$226	$83	37%	—	$42 – $320
16	Caresource fee schedule · outpatient · +15 other terms	59	$135	$121	$81	67%	—	$1 – $298
17	Optum fee schedule · outpatient · +22 other terms	56	$157	$167	$73	44%	—	$33 – $334
18	Highmark facility · fee schedule · outpatient · +15 other terms	53	$196	$224	$168	75%	—	$10 – $776
19	First Health fee schedule · outpatient · +14 other terms	39	$178	$189	$65	34%	—	$78 – $374
20	Aetna Better Health fee schedule · outpatient · +18 other terms	36	$26	$76	$70	93%	—	$15 – $191
21	Clover facility · fee schedule · outpatient · +7 other terms	34	$179	$176	$12	7%	—	$154 – $202
22	Medicaid fee schedule · both · +13 other terms	31	$55	$89	$30	33%	—	$24 – $122
23	Medica fee schedule · outpatient · +18 other terms	27	$70	$72	$41	57%	—	$22 – $258
24	Medicare other · both · +12 other terms	27	$163	$201	$37	18%	—	$157 – $251
25	Amerihealth Caritas fee schedule · outpatient · +9 other terms	26	$15	$31	$48	156%	—	$1 – $194

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