RC 383
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
Plasma Aliquot
Low
$20
Average
$162
Median
$84
High
$1.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 3.7× 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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21 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 2 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 3 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 4 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 5 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 6 | HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA other · both | 1 | $181 | $149 | $46 | 31% | — | $84 – $181 |
| 7 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient | 1 | $78 | $78 | $2 | 3% | — | $76 – $80 |
| 8 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 9 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 10 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 11 | Lompoc Valley Medical Center Lompoc, CA fee schedule · outpatient | 1 | $190 | $190 | $6 | 3% | — | $184 – $195 |
| 12 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $142 | $135 | $32 | 24% | — | $84 – $172 |
| 13 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 14 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $80 | $80 | $4 | 5% | — | $76 – $84 |
| 15 | OCHSNER MEDICAL CENTER � KENNER LLC Kenner, LA other · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 16 | Penn Medicine Princeton Medical Center Princeton, NJ facility · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 17 | ST MARTIN HOSPITAL INC Breaux Bridge, LA percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 18 | San Juan Hospital Spanish Valley, UT facility · fee schedule · both | 3 | $315 | $315 | $274 | 87% | — | $41 – $589 |
| 19 | St Tammany Hosptial Service District No 2 Slidell, LA other · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 20 | St Tammany Hosptial Service District No 2 Slidell, LA other · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 21 | University Hospital & Clinics, Inc. Lafayette, LA other · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
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