Home infusion of blood products, daily rate

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HIT blood products diem

Payers reporting HCPCS S9538

Payer pricing summary

Low

Average

$225

Median

$208

High

$668

Payer rate distribution

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#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	37	$481	$461	$386	84%	—	$0 – $1.8k
2	Molina facility · case rate · outpatient · +5 other terms	29	$389	$403	$102	25%	—	$288 – $697
3	Aetna fee schedule · outpatient · +6 other terms	24	$11	$101	$196	194%	—	$10 – $590
4	UnitedHealthcare facility · case rate · outpatient · +5 other terms	18	$414	$443	$120	27%	—	$288 – $711
5	Anthem facility · case rate · outpatient · +6 other terms	15	$411	$450	$105	23%	—	$280 – $697
6	Caresource facility · case rate · outpatient · +1 other terms	15	$419	$450	$103	23%	—	$280 – $711
7	Optum facility · case rate · outpatient · +1 other terms	13	$372	$403	$103	26%	—	$275 – $631
8	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$285	$397	$278	70%	—	$143 – $1.4k
9	Highmark fee schedule · outpatient · +2 other terms	11	$86	$109	$157	143%	—	$86 – $1.5k
10	Humana fee schedule · outpatient · +4 other terms	9	$10	$280	$302	108%	—	$10 – $620
11	Medica fee schedule · both · +1 other terms	9	$65	$65	—	—	—	$65 – $65
12	Ucare fee schedule · both · +1 other terms	9	$66	$66	$3	5%	—	$62 – $70
13	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$10	$10	—	—	—	$10 – $10
14	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$319	$323	$10	3%	—	$319 – $348
15	First Health professional · fee schedule · both	3	$11	$11	—	—	—	$11 – $11
16	Wellmark facility · case rate · outpatient · +2 other terms	3	$1.0k	$921	$290	32%	—	$427 – $1.2k
17	Cigna fee schedule · both · +2 other terms	2	$144	$141	$12	9%	—	$124 – $152
18	Medicaid facility · case rate · outpatient	2	$290	$290	—	—	—	$290 – $290
19	MultiPlan professional · percent of total billed charges · bothfrom % of charges	2	$9	$9	—	—	—	$9 – $9
20	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
21	Bcbs Il professional · fee schedule · both	1	$80	$80	—	—	—	$80 – $80
22	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
23	Bcbs Nv fee schedule · outpatient	1	$50	$50	—	—	—	$50 – $50
24	Bcbs Vt professional · fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
25	Healthpartners facility · fee schedule · outpatient	1	$360	$360	—	—	—	$360 – $360

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