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
SC DIS P-SELECTIN WHL BLOOD
Summit, WI
See all hospitals reporting CPT 0122U →Price type
Aurora Medical Center Summit’s median price of $1.2k is 132% above the median hospital's median price ($537), higher than 95% of the 1,276 hospitals reporting CPT 0122U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 11 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 | UnitedHealthcare charter fee schedule · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 2 | UnitedHealthcare exchange fee schedule · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 3 | UnitedHealthcare hmo fee schedule · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 4 | UnitedHealthcare nexus fee schedule · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 5 | Anthem blue priority fee schedule · outpatient | $526 | $526 | — | — | — | $526 – $526 |
| 6 | Anthem blue preferred fee schedule · outpatient | $631 | $631 | — | — | — | $631 – $631 |
| 7 | Aetna hmo fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Healthpartners employee trust fund fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Molina commercial fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | Cigna ppo-gppo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | Healthpartners robin fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Nov 21, 2025
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