As of May 2017
| Services | BMC Patient | Non-BMC Patient |
|---|---|---|
| Component | Network Transaction | Non-Network Transaction |
| Whole Blood | 1,600.00 | 1,600.00 |
| Packed Red Blood Cell | 1,500.00 | 1,500.00 |
| Platelet Concentrate | 1,000.00 | 1,000.00 |
| Fresh Frozen Plasma | 1,000.00 | 1,000.00 |
| Cryoprecipitate / Cryosupernate | 1,000.00 | 1,000.00 |
| Washed Red Blood Cell | 2,700.00 | 2,700.00 |
| Leukocyte Reduced Red Blood Cell (any volume) | 3,800.00 | 3,800.00 |
| ALIQUOT for Pediatric Cases (200ml below) | 800.00 | 800.00 |
| Antibody Screening (Patient) - 3 cell panel | 700.00 | 700.00 |
| Antibody Screening (Donor) - 1 cell panel | 550.00 | 550.00 |
| Apheresis Derived Components | Not Yet Available | Not Yet Available |
| OTHER SERVICES | ||
| Therapeutic Phlebotomy ** | 450.00 | 450.00 |
| Compatability Testing | 500.00 | N/A |
| Direct Antihuman Globulin (Coomb's) Test | 370.00 | N/A |
| Indirect Antihuman Globulin (Coomb's) Test | 370.00 | N/A |
| Transfusion Reaction Investigation 1 (w/o culture) | 3,200.00 | N/A |
| Transfusion Reaction Investigation 2 (w/ culture) | 4,200.00 | N/A |
| Forward ABO/RH Grouping (Gel Method) | 430.00 | N/A |
| Forward ABO/RH Grouping-NEWBORN (Gel Method) | 500.00 | N/A |
| Reverse ABO/RH Grouping (Gel Method) | 350.00 | N/A |
| Forward ABO/RH Grouping-for donors only (Tube Method) | 50.00 | 50.00 |
Combined Reverse & Forward ABO/Rh Grouping | 530.00 | N/A |
| Massive Transfusion Protocol Pack #1 | 13,650.00 | N/A |
| Massive Transfusion Protocol Pack #2 | 19,050.00 | N/A |
| FOR ORGAN DONORS ONLY | ||
| Screening for HbsAg (Quantitative) | 420.00 | N/A |
| Screening for HCV (Quantitative) | 600.00 | N/A |
| Screening for HIV 1 & 2 (Quantitative) | 300.00 | N/A |
| Screening for HIV Malaria (ICT) | 250.00 | N/A |
| Screening for Syphilis (Quantitative) | 250.00 | N/A |
| Duplicate Copy of Result (per print/copy) | 50.00 | 50.00 |
| SUPPLIES | ||
| Blood Bag Single | 150.00 | 150.00 |
| Blood Bag Double | 250.00 | 250.00 |
| Blood Bag Triple | 350.00 | 350.00 |
| Blood Set-Platelet | 150.00 | 150.00 |
| Blood Set-Leukocyte Depleted Filter (Laboratory/Blood Bank Type) | 2,200.00 | 2,200.00 |
*Additional Fee for blood bag and other materials