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See a sample rate comparisonHCPCS P9010 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Blood (whole), for transfusion, per unit
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Services Blood and Blood Products, with Associated Procedures |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for P9010 |
National average reimbursement for HCPCS P9010 by major payers:
$84.45
$56.76
$52.70
$45.40
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HCPCS P9010
5 of 25 sample ratesHigher to lower in this preview
Emanuel County Hospital Authority, Emanuel Medical Center
$192.88Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$112.33Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$66.48Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$47.75Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$34.65Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS P9010 vs. Other Blood and Blood Products, with Associated Procedures Codes
The HCPCS P9010 code is part of the Pathology and Laboratory Services services used for Blood and Blood Products, with Associated Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS P9010 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| P7001-HCPCS | Low | Culture, bacterial, urine; quantitative, sensitivity study |
| P9010-HCPCS | Low | Blood (whole), for transfusion, per unit |
| P9011-HCPCS | Low | Blood, split unit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS P9010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the P9010 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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