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
RBC LR/IR ALIQUOT
Arlington, TX
See all hospitals reporting RC 390 →Price type
AMH Cath Labs LLC’s median price of $265 is 33% below the median hospital's median price ($397), higher than 26% 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: 9 payers, 35 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 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $64.45 | $73.70 | $10.57 – $243.66 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $64.45 | $73.70 | $10.57 – $243.66 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $67.71 | $77.43 | $11.10 – $255.98 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $69.59 | $79.58 | $11.41 – $263.10 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $70.89 | $81.07 | $11.63 – $268.03 |
| 6 | Blue Cross Blue Shield exchange fee schedule · outpatient | $199.47 | $199.47 | $199.47 – $199.47 |
| 7 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $220.95 | $249.16 | $34.44 – $793.95 |
| 8 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $184.91 | $270.54 | $53.17 – $708.06 |
| 9 | Humana medicare advantage case rate · outpatient | $192.31 | $281.36 | $55.30 – $736.38 |
| 10 | Humana medicare advantage ppo case rate · outpatient | $192.31 | $281.36 | $55.30 – $736.38 |
| 11 | Molina medicare advantage case rate · outpatient | $194.16 | $284.07 | $55.83 – $743.46 |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $194.16 | $284.07 | $55.83 – $743.46 |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $203.40 | $297.59 | $58.49 – $778.87 |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $205.25 | $300.30 | $59.02 – $785.95 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $208.95 | $305.71 | $60.08 – $800.11 |
| 16 | Aetna whole health fee schedule · outpatient | $237.56 | $327.85 | $43.81 – $1,353 |
| 17 | Blue Cross Blue Shield hmo fee schedule · outpatient | $349.28 | $349.28 | $349.28 – $349.28 |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $388.17 | $388.17 | $388.17 – $388.17 |
| 19 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $351.99 | $396.93 | $54.86 – $1,265 |
| 20 | Aetna commercial fee schedule · outpatient | $316.74 | $437.13 | $58.41 – $1,805 |
| 21 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $391.61 | $441.61 | $61.04 – $1,407 |
| 22 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $400.30 | $457.77 | $65.65 – $1,513 |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $503.27 | $575.53 | $82.53 – $1,903 |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $504.72 | $577.19 | $82.77 – $1,908 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $507.61 | $580.50 | $83.24 – $1,919 |
Last updated: Apr 21, 2026
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