Whole blood for transfusion

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

E5664 Dv Aph RBC Washed Irr 1 Plasma Add

Tricare pricing summary

Low

$49

Average

$253

Median

$190

High

$1.2k

Tricare rate distribution

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153 hospital rates

#		Plans
1	ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient	1	$225	$225	—	—	—	$225 – $225
2	Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient	1	$180	$180	—	—	—	$180 – $180
3	Ascension Seton Austin, TX fee schedule · outpatient	1	$214	$214	—	—	—	$214 – $214
4	Ascension Seton Austin, TX fee schedule · outpatient	1	$214	$214	—	—	—	$214 – $214
5	Ascension Seton Austin, TX fee schedule · outpatient	1	$214	$214	—	—	—	$214 – $214
6	Ascension Seton Luling, TX fee schedule · outpatient	1	$214	$214	—	—	—	$214 – $214
7	Ascension Seton Burnet, TX fee schedule · outpatient	1	$214	$214	—	—	—	$214 – $214
8	Ascension Seton Smithville, TX fee schedule · outpatient	1	$214	$214	—	—	—	$214 – $214
9	Ascension Seton Bastrop, TX fee schedule · outpatient	1	$214	$214	—	—	—	$214 – $214
10	Ascension Seton Austin, TX fee schedule · outpatient	1	$214	$214	—	—	—	$214 – $214
11	Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient	1	$180	$180	—	—	—	$180 – $180
12	Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient	1	$241	$241	—	—	—	$241 – $241
13	Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient	1	$180	$180	—	—	—	$180 – $180
14	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient	1	$225	$225	—	—	—	$225 – $225
15	CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient	1	$181	$181	—	—	—	$181 – $181
16	CORNING HOSPITAL Corning, NY facility · other · outpatient	2	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
17	CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient	1	$181	$181	—	—	—	$181 – $181
18	Centinela Hospital Medical Center Inglewood, CA fee schedule · outpatient	1	$189	$189	—	—	—	$189 – $189
19	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	1	$700	$700	—	—	—	$700 – $700
20	Clarion Hospital Clarion, PA facility · fee schedule · outpatient	1	$225	$225	—	—	—	$225 – $225
21	Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient	1	$189	$189	—	—	—	$189 – $189
22	Dallas Regional Medical Center Mesquite, TX fee schedule · outpatient	1	$189	$189	—	—	—	$189 – $189
23	Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient	1	$190	$190	—	—	—	$190 – $190
24	Dukes Health System LLC Peru, IN facility · fee schedule · outpatient	1	$94	$94	—	—	—	$94 – $94
25	Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient	1	$180	$180	—	—	—	$180 – $180