facebook tracking Level 4 Blood Product Exchange and Related Services cost: hospital prices by state (APC 5244)

Level 4 Blood Product Exchange and Related Services

What 11 hospitals in the U.S. charged and were paid for level 4 blood product exchange and related services (APC 5244), from 2024 Medicare claims.

APC 5244 Outpatient 2024 Medicare data
Average charge $250,048 Hospital list price billed
Average allowed $58,482 Medicare's payment + patient's share
Medicare paid $56,850 Average per service
Volume 29 Medicare services

Hospitals in the U.S. billed an average of $250,048 for level 4 blood product exchange and related services, about 4.3 times the average medicare-allowed amount of $58,482.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $58,482Billed $250,048

About 23¢ was paid for every $1 hospitals in the U.S. billed for this service.

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Level 4 Blood Product Exchange and Related Services cost by state

Volume-weighted averages for each state's hospitals. Select a state to see every hospital.

State Hospitals Avg charge Avg allowed Range
California 2 – – – – –
Indiana 1 – – –
Kentucky 1 – – –
Massachusetts 1 $250,048 $58,482 –
Minnesota 1 – – –
North Carolina 1 – – –
Texas 1 – – –
Utah 1 – – –
Washington 1 – – –
Wisconsin 1 – – –

Hospitals that treat the most Medicare patients for this

HospitalServicesAvg chargeAvg allowed
Dana-Farber Cancer InstituteBoston, MA29$250,048$58,482
UCLA Medical CenterLos Angeles, CA–––
Stanford HospitalPalo Alto, CA–––
Clarian Health PartnersIndianapolis, IN–––
University of Louisville HospitalLouisville, KY–––
Mayo Clinic - Saint Marys HospitalRochester, MN–––
Duke University Medical CenterDurham, NC–––
St David's South Austin Medical CenterAustin, TX–––
University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT–––
Fred Hutchinson Cancer CenterSeattle, WA–––
Froedtert Mem Lutheran HsptlMilwaukee, WI–––

Questions

How much does level 4 blood product exchange and related services cost in the U.S.?

In 2024 Medicare data, level 4 blood product exchange and related services (APC 5244) at 11 hospitals in the U.S. was billed at $250,048 on average, while the average medicare-allowed amount was $58,482, of which Medicare paid $56,850. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in the U.S., average charges were 4.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.