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
Autologous Centrifugation and Separation of Whole Blood for RBC Reinfusi
Low
$4
Average
$900
Median
$22
High
$12.5k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 85.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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18 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $19 | $19 | — | — | 1–10 | $19 – $19 |
| 2 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $244 | $244 | $232 | 95% | 1–10 | $12 – $476 |
| 3 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $67 | $12.5k | $21.6k | 172% | — | $29 – $50k |
| 4 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 5 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $895 | $833 | $500 | 60% | — | $104 – $1.5k |
| 6 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 7 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $1.3k | $2.0k | 152% | — | $7 – $6.3k |
| 8 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $67 | $71 | $42 | 58% | — | $5 – $128 |
| 9 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | $6 | 31% | — | $13 – $24 |
| 10 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 11 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | $7 | 31% | — | $15 – $29 |
| 12 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 13 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $29 | $10 | 36% | — | $16 – $44 |
| 14 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 15 | Orange County Global Medical Center Santa Ana, CA facility · fee schedule · outpatient | 1 | $58 | $58 | $53 | 91% | — | $4 – $110 |
| 16 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 17 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $936 | $468 | 50% | — | $273 – $1.3k |
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