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
CAPLACIZUMAB-YHDP 11 MG INJECTION KIT [143190]
Arlington, TX
See all hospitals reporting HCPCS C9047 →Price type
AMH Cath Labs LLC’s median price of $10.3k is 569% above the median hospital's median price ($1.5k), higher than 79% of the 1,188 hospitals reporting HCPCS C9047. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $802 | $802 | — | — | — | $802 – $802 |
| 2 | Humana medicare advantage case rate · outpatient | $835 | $835 | — | — | — | $835 – $835 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $835 | $835 | — | — | — | $835 – $835 |
| 4 | Molina medicare advantage case rate · outpatient | $843 | $843 | — | — | — | $843 – $843 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $843 | $843 | — | — | — | $843 – $843 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $883 | $883 | — | — | — | $883 – $883 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $891 | $891 | — | — | — | $891 – $891 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $907 | $907 | — | — | — | $907 – $907 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 13 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 14 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 16 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 17 | UnitedHealthcare all payer fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 18 | UnitedHealthcare ppo fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 19 | Blue Cross Blue Shield traditional fee schedule · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $15.0k | $15.0k | — | — | — | $15.0k – $15.0k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $18.9k | $18.9k | — | — | — | $18.9k – $18.9k |
Last updated: Apr 21, 2026
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