RC 390
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
SPLITTING BLOOD PRODUCT EACH
Mesa, AZ
See all hospitals reporting RC 390 →Price type
Agh Mesa Llc’s median price of $184 is 54% below the median hospital's median price ($397), higher than 10% of the 1,885 hospitals reporting RC 390. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Cigna commercial|all other plans fee schedule · outpatient | $2.46 | $2.46 | $2.16 – $2.75 |
| 2 | Cigna commercial|ppo fee schedule · outpatient | $2.46 | $2.46 | $2.16 – $2.75 |
| 3 | Aetna commercial|all other plans fee schedule · outpatient | $136.13 | $136.13 | $120.09 – $152.16 |
| 4 | Aetna commercial|ppo fee schedule · outpatient | $136.13 | $136.13 | $120.09 – $152.16 |
| 5 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $110.26 | $143.18 | $19.58 – $458.75 |
| 6 | Humana medicare|all plans fee schedule · outpatient | $155.41 | $232.18 | $22.00 – $720.13 |
| 7 | WellCare medicare|all plans fee schedule · outpatient | $155.41 | $232.18 | $22.00 – $720.13 |
| 8 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $156.97 | $234.51 | $22.22 – $727.34 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $159.30 | $237.99 | $22.55 – $738.14 |
| 10 | UnitedHealthcare commercial|navigate case rate · outpatient | $447.00 | $447.00 | $447.00 – $447.00 |
| 11 | UnitedHealthcare commercial|options case rate · outpatient | $510.00 | $510.00 | $510.00 – $510.00 |
| 12 | UnitedHealthcare commercial|all other plans case rate · outpatient | $512.00 | $512.00 | $512.00 – $512.00 |
| 13 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $243.21 | $585.54 | $40.93 – $2,136 |
| 14 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $243.21 | $585.54 | $40.93 – $2,136 |
| 15 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $324.22 | $780.58 | $54.56 – $2,847 |
| 16 | MultiPlan commercial|all plans fee schedule · inpatient | $692.82 | $975.54 | $17.98 – $3,313 |
| 17 | MultiPlan commercial|all plans fee schedule · outpatient | $692.82 | $975.54 | $17.98 – $3,313 |
Last updated: Feb 28, 2026
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