{"procedure":{"code_type":"CPT","code":"86972","lay_name":"Red cell preparation by density separation","blurb":"Laboratory step that separates red blood cells by density before antibody or compatibility testing is performed; billed in addition to the test itself.","slug":"cpt-86972-red-cell-preparation-by-density-separation","description":"RBC PRETX INCUBATJ W/DENSITY","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"235","label":"Other Laboratory","surgery_flag":"n/a"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-01-24","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:25:43.484337Z","checked_through":"2026-09-25T01:13:17.893132Z","n_priced_setters":3956,"n_filed":1533,"n_usable":1408,"n_not_usable":1,"n_labelled":79,"n_no_cash":45,"n_estimated":0,"n_states":48,"cash_p10":62.7,"cash_p20":87.1,"cash_p25":100.05,"cash_p50":171.92,"cash_p75":298.16,"cash_p80":336.3,"cash_p90":458.0,"cash_mean_trimmed":182.88,"gross_p50":289.88,"cash_to_gross_p50":0.62,"medicare_rate":174.06,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.9877,"by_state":[{"state":"AK","n":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":22,"p20":85.6,"p50":159.51,"p80":1020.43},{"state":"AR","n":6,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":20,"p20":64.0,"p50":64.52,"p80":277.09},{"state":"CA","n":46,"p20":85.0,"p50":251.98,"p80":403.2},{"state":"CO","n":21,"p20":154.6,"p50":242.14,"p80":500.06},{"state":"CT","n":9,"p20":null,"p50":null,"p80":null},{"state":"FL","n":106,"p20":171.6,"p50":289.02,"p80":521.0},{"state":"GA","n":70,"p20":86.96,"p50":150.75,"p80":362.0},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":34,"p20":75.4,"p50":116.0,"p80":164.99},{"state":"ID","n":11,"p20":68.42,"p50":193.13,"p80":193.13},{"state":"IL","n":79,"p20":122.5,"p50":164.99,"p80":225.9},{"state":"IN","n":67,"p20":107.4,"p50":180.0,"p80":329.4},{"state":"KS","n":21,"p20":137.0,"p50":170.89,"p80":430.6},{"state":"KY","n":35,"p20":68.88,"p50":164.33,"p80":241.99},{"state":"LA","n":9,"p20":null,"p50":null,"p80":null},{"state":"MA","n":27,"p20":104.8,"p50":199.0,"p80":470.4},{"state":"MD","n":15,"p20":64.74,"p50":90.37,"p80":100.8},{"state":"ME","n":6,"p20":null,"p50":null,"p80":null},{"state":"MI","n":23,"p20":78.0,"p50":112.45,"p80":168.0},{"state":"MN","n":18,"p20":85.14,"p50":184.0,"p80":331.63},{"state":"MO","n":43,"p20":80.85,"p50":138.6,"p80":322.85},{"state":"MS","n":5,"p20":null,"p50":null,"p80":null},{"state":"MT","n":6,"p20":null,"p50":null,"p80":null},{"state":"NC","n":44,"p20":62.7,"p50":100.05,"p80":157.0},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":22,"p20":89.46,"p50":146.25,"p80":180.0},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":23,"p20":54.03,"p50":189.67,"p80":224.79},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":57,"p20":117.6,"p50":202.78,"p80":344.29},{"state":"OH","n":90,"p20":104.4,"p50":222.56,"p80":423.8},{"state":"OK","n":32,"p20":37.1,"p50":114.3,"p80":171.6},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":53,"p20":109.2,"p50":315.45,"p80":622.2},{"state":"RI","n":7,"p20":null,"p50":null,"p80":null},{"state":"SC","n":25,"p20":114.0,"p50":131.5,"p80":180.5},{"state":"TN","n":42,"p20":66.36,"p50":111.65,"p80":298.16},{"state":"TX","n":141,"p20":61.43,"p50":153.6,"p80":287.68},{"state":"UT","n":26,"p20":171.92,"p50":171.92,"p80":202.25},{"state":"VA","n":60,"p20":128.4,"p50":237.65,"p80":366.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":13,"p20":166.4,"p50":368.0,"p80":810.72},{"state":"WI","n":41,"p20":87.1,"p50":128.24,"p80":226.05},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1147,"p20":86.96,"p50":173.0,"p80":347.0},{"key":"childrens","n":23,"p20":111.92,"p50":225.0,"p80":452.16},{"key":"critical_access","n":229,"p20":90.4,"p50":164.99,"p80":301.42}],"ownership":[{"key":"for_profit","n":230,"p20":86.96,"p50":188.4,"p80":417.12},{"key":"government","n":189,"p20":100.05,"p50":152.0,"p80":272.0},{"key":"nonprofit","n":980,"p20":87.1,"p50":171.92,"p80":331.0}],"affiliation":[{"key":"affiliated","n":1215,"p20":87.1,"p50":171.92,"p80":344.95},{"key":"independent","n":193,"p20":99.0,"p50":173.18,"p80":309.0}]},"histogram":[{"lo":44.2,"hi":58.16,"n":52},{"lo":58.16,"hi":76.54,"n":90},{"lo":76.54,"hi":100.71,"n":153},{"lo":100.71,"hi":132.53,"n":136},{"lo":132.53,"hi":174.39,"n":224},{"lo":174.39,"hi":229.48,"n":202},{"lo":229.48,"hi":301.98,"n":138},{"lo":301.98,"hi":397.37,"n":136},{"lo":397.37,"hi":522.9,"n":95},{"lo":522.9,"hi":688.08,"n":45}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-01-24","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:25:43.484337Z","checked_through":"2026-09-25T01:13:17.893132Z","n_priced_setters":3956,"n_filed":1098,"n_usable":987,"n_not_usable":0,"n_labelled":68,"n_no_cash":43,"n_estimated":0,"n_states":46,"cash_p10":61.6,"cash_p20":87.0,"cash_p25":93.1,"cash_p50":171.5,"cash_p75":305.95,"cash_p80":340.0,"cash_p90":457.0,"cash_mean_trimmed":182.39,"gross_p50":300.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":16,"p20":111.92,"p50":210.9,"p80":1020.43},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":18,"p20":64.0,"p50":64.52,"p80":315.42},{"state":"CA","n":40,"p20":85.0,"p50":309.0,"p80":403.2},{"state":"CO","n":19,"p20":154.6,"p50":242.14,"p80":500.06},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":47,"p20":252.47,"p50":405.6,"p80":619.5},{"state":"GA","n":54,"p20":86.96,"p50":147.66,"p80":362.0},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":26,"p20":84.5,"p50":116.0,"p80":164.99},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":66,"p20":138.6,"p50":185.9,"p80":247.68},{"state":"IN","n":44,"p20":35.5,"p50":178.2,"p80":385.5},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":22,"p20":59.83,"p50":107.92,"p80":231.23},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MA","n":24,"p20":90.75,"p50":219.0,"p80":494.0},{"state":"MD","n":8,"p20":null,"p50":null,"p80":null},{"state":"ME","n":6,"p20":null,"p50":null,"p80":null},{"state":"MI","n":18,"p20":69.44,"p50":87.1,"p80":121.13},{"state":"MN","n":17,"p20":108.16,"p50":270.72,"p80":331.63},{"state":"MO","n":26,"p20":80.85,"p50":138.6,"p80":183.0},{"state":"MS","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":20,"p20":62.7,"p50":100.05,"p80":104.5},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":12,"p20":56.58,"p50":89.46,"p80":161.5},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":5,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":26,"p20":138.26,"p50":290.37,"p80":391.78},{"state":"OH","n":85,"p20":103.8,"p50":256.2,"p80":423.8},{"state":"OK","n":26,"p20":37.1,"p50":55.2,"p80":119.51},{"state":"OR","n":4,"p20":null,"p50":null,"p80":null},{"state":"PA","n":47,"p20":100.2,"p50":318.0,"p80":1068.76},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":21,"p20":116.4,"p50":166.0,"p80":180.5},{"state":"TN","n":30,"p20":66.0,"p50":91.65,"p80":207.9},{"state":"TX","n":106,"p20":56.7,"p50":153.6,"p80":182.31},{"state":"UT","n":22,"p20":171.92,"p50":171.92,"p80":202.25},{"state":"VA","n":44,"p20":107.0,"p50":227.5,"p80":346.5},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":10,"p20":171.5,"p50":543.9,"p80":810.72},{"state":"WI","n":28,"p20":87.1,"p50":128.24,"p80":217.14},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":813,"p20":86.96,"p50":169.0,"p80":348.16},{"key":"childrens","n":20,"p20":100.2,"p50":210.9,"p80":452.16},{"key":"critical_access","n":145,"p20":90.16,"p50":168.0,"p80":290.37}],"ownership":[{"key":"for_profit","n":112,"p20":64.0,"p50":162.75,"p80":270.36},{"key":"government","n":112,"p20":86.96,"p50":135.87,"p80":277.09},{"key":"nonprofit","n":754,"p20":87.1,"p50":171.92,"p80":362.0}],"affiliation":[{"key":"affiliated","n":874,"p20":86.96,"p50":171.6,"p80":346.5},{"key":"independent","n":113,"p20":95.75,"p50":163.0,"p80":311.5}]},"histogram":[{"lo":41.3,"hi":54.91,"n":29},{"lo":54.91,"hi":73.01,"n":73},{"lo":73.01,"hi":97.07,"n":100},{"lo":97.07,"hi":129.06,"n":115},{"lo":129.06,"hi":171.6,"n":135},{"lo":171.6,"hi":228.16,"n":139},{"lo":228.16,"hi":303.35,"n":97},{"lo":303.35,"hi":403.33,"n":118},{"lo":403.33,"hi":536.26,"n":59},{"lo":536.26,"hi":713.0,"n":24}],"previous":null}},"related":[{"code_type":"CPT","code":"36415","lay_name":"Routine blood draw from a vein","slug":"cpt-36415-routine-blood-draw-from-a-vein"},{"code_type":"CPT","code":"80076","lay_name":"Liver function blood panel","slug":"cpt-80076-liver-function-blood-panel"},{"code_type":"CPT","code":"80061","lay_name":"Cholesterol blood panel","slug":"cpt-80061-cholesterol-blood-panel"},{"code_type":"CPT","code":"86900","lay_name":"ABO blood type test","slug":"cpt-86900-abo-blood-type-test"},{"code_type":"CPT","code":"86901","lay_name":"Rh blood type test","slug":"cpt-86901-rh-blood-type-test"},{"code_type":"CPT","code":"86140","lay_name":"C-reactive protein blood test","slug":"cpt-86140-c-reactive-protein-blood-test"},{"code_type":"CPT","code":"80202","lay_name":"Vancomycin blood level","slug":"cpt-80202-vancomycin-blood-level"},{"code_type":"CPT","code":"86850","lay_name":"Red blood cell antibody screen","slug":"cpt-86850-red-blood-cell-antibody-screen"},{"code_type":"CPT","code":"80164","lay_name":"Valproic acid blood level, total","slug":"cpt-80164-valproic-acid-blood-level-total"},{"code_type":"CPT","code":"86762","lay_name":"Blood test for rubella antibodies","slug":"cpt-86762-blood-test-for-rubella-antibodies"},{"code_type":"CPT","code":"80162","lay_name":"Digoxin blood level, total","slug":"cpt-80162-digoxin-blood-level-total"},{"code_type":"CPT","code":"86803","lay_name":"Hepatitis C antibody blood test","slug":"cpt-86803-hepatitis-c-antibody-blood-test"}]}