Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS P9021 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.
Red blood cells, each 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 P9021 |
National average reimbursement for HCPCS P9021 by major payers:
$154.95
$120.59
$83.93
$125.49
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS P9021.
HCPCS P9021
5 of 25 sample ratesHigher to lower in this preview
Slidell Memorial Hospital, St Tammany Parish Hospital Service District #2
Slidell Memorial Hospital
$312.57Published rateOmega Hospital LLC
Omega Hospital, LLC
$168.72Published rateThibodaux Regional Health System Inc
$115.45Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$93.09Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$93.09Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS P9021 vs. Other Blood and Blood Products, with Associated Procedures Codes
The HCPCS P9021 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 P9021 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 |
|---|---|---|
| P9020-HCPCS | Moderate | Platelet rich plasma, each unit |
| P9021-HCPCS | Low | Red blood cells, each unit |
| P9022-HCPCS | Moderate | Red blood cells, washed, each unit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS P9021. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the P9021 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS P9021) and we'll show you how you compare in 15 minutes or less.