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.

Generation details were not recorded for this description.

Original text from hospital filings

COVID-19 convalescent plasma

Payers reporting HCPCS C9507

Payer pricing summary

Low

$301

Average

$1.0k

Median

$752

High

$4.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +19 other terms	266	$656	$857	$1.4k	160%	—	$1 – $17.2k
2	Aetna fee schedule · outpatient · +19 other terms	220	$680	$1.1k	$1.1k	95%	—	$1 – $6.2k
3	Humana fee schedule · outpatient · +16 other terms	186	$484	$644	$542	84%	—	$1 – $3.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	148	$1.8k	$2.0k	$1.2k	59%	—	$1 – $5.2k
5	Cigna fee schedule · outpatient · +15 other terms	115	$666	$843	$666	79%	—	$100 – $3.4k
6	WellCare fee schedule · outpatient · +8 other terms	98	$634	$628	$211	34%	—	$335 – $1.3k
7	Molina facility · fee schedule · outpatient · +15 other terms	91	$680	$665	$229	34%	—	$55 – $1.7k
8	Anthem fee schedule · outpatient · +12 other terms	70	$666	$1.0k	$1.1k	109%	—	$58 – $5.1k
9	Kaiser fee schedule · outpatient · +3 other terms	56	$850	$1.1k	$997	87%	—	$58 – $5.7k
10	Devoted facility · fee schedule · outpatient · +5 other terms	55	$680	$680	$54	8%	—	$387 – $765
11	Ambetter facility · fee schedule · outpatient · +8 other terms	51	$1.0k	$1.0k	$195	19%	—	$426 – $1.3k
12	Aetna Better Health fee schedule · outpatient · +5 other terms	43	$811	$780	$91	12%	—	$426 – $901
13	Optum fee schedule · outpatient · +7 other terms	37	$666	$786	$345	44%	—	$424 – $1.4k
14	Tricare facility · fee schedule · outpatient · +8 other terms	36	$646	$638	$32	5%	—	$404 – $794
15	MultiPlan fee schedule · outpatient · +11 other terms	34	$1.3k	$1.3k	$1.0k	77%	—	$221 – $4.1k
16	Oscar facility · fee schedule · outpatient · +9 other terms	26	$681	$747	$174	23%	—	$426 – $1.0k
17	Clover fee schedule · outpatient · +2 other terms	24	$475	$523	$86	16%	—	$434 – $680
18	Caresource facility · case rate · outpatient · +9 other terms	23	$220	$477	$376	79%	—	$129 – $1.4k
19	Regence facility · fee schedule · outpatient · +1 other terms	21	$707	$915	$669	73%	—	$362 – $2.9k
20	Bcbs Tx fee schedule · outpatient	20	$2.7k	$2.6k	$1.3k	51%	—	$400 – $5.0k
21	Medicare fee schedule · outpatient · +7 other terms	18	$666	$666	—	—	—	$666 – $666
22	Highmark fee schedule · outpatient · +4 other terms	16	$610	$583	$231	40%	—	$191 – $1.6k
23	Medical Mutual facility · fee schedule · outpatient · +6 other terms	14	$680	$685	$99	14%	—	$426 – $966
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$677	$613	$151	25%	—	$426 – $764
25	Bcbs Nj fee schedule · outpatient	12	$478	$1.0k	$677	67%	—	$465 – $2.1k

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