Frozen plasma from donor, within 8 hours at Bon Secours Community Hospital

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

Original text from hospital filings

E7643 Aph Plasma ACD-A FZN 24H 4

Jervis, NY

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Pricing by billing methodology

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How this price compares nationally

Bon Secours Community Hospital’s median price of $168 is 30% above the median hospital's median price ($129), higher than 65% of the 2,036 hospitals reporting HCPCS P9017. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS P9017 at Bon Secours Community Hospital

Negotiated rates from the hospital’s own file: 9 payers, 16 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	Medicare medicare facility · fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
2	Tricare tricare facility · fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
3	Molina affinity by molina mcr facility · fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
4	Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges	$168	$168	—	—	—	$168 – $168
5	Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges	$168	$168	—	—	—	$168 – $168
6	Blue Cross Blue Shield blue cross hmo facility · percent of total billed charges · outpatientfrom % of charges	$168	$168	—	—	—	$168 – $168
7	Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges	$168	$168	—	—	—	$168 – $168
8	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$168	$168	—	—	—	$168 – $168
9	UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges	$168	$168	—	—	—	$168 – $168
10	UnitedHealthcare uhc empire facility · percent of total billed charges · outpatientfrom % of charges	$168	$168	—	—	—	$168 – $168
11	UnitedHealthcare uhc exchange facility · percent of total billed charges · outpatientfrom % of charges	$168	$168	—	—	—	$168 – $168
12	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$175	$175	—	—	—	$175 – $175
13	Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges	$175	$175	—	—	—	$175 – $175
14	Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges	$175	$175	—	—	—	$175 – $175
15	Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges	$175	$175	—	—	—	$175 – $175
16	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$188	$188	—	—	—	$188 – $188

Last updated: Jun 29, 2026

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