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
PLAS FRAC 5% 250ML
Rock, TX
See all hospitals reporting RC 390 →Price type
Ascension Seton’s median price of $256 is 36% below the median hospital's median price ($397), higher than 24% 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: 13 payers, 110 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield 4176_blue cross chip (wil) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $35.00 | $55.96 | $4.93 – $524.62 |
| 2 | Blue Cross Blue Shield 5019_blue cross star kids (wil) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $35.00 | $55.96 | $4.93 – $524.62 |
| 3 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $70.00 | $111.92 | $9.87 – $1,049 |
| 4 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 percent of total billed charges · outpatientfrom % of charges | $70.00 | $111.92 | $9.87 – $1,049 |
| 5 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $70.00 | $111.92 | $9.87 – $1,049 |
| 6 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $70.00 | $111.92 | $9.87 – $1,049 |
| 7 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $70.00 | $111.92 | $9.87 – $1,049 |
| 8 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $70.00 | $111.92 | $9.87 – $1,049 |
| 9 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $70.00 | $111.92 | $9.87 – $1,049 |
| 10 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $70.00 | $111.92 | $9.87 – $1,049 |
| 11 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $70.00 | $111.92 | $9.87 – $1,049 |
| 12 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $70.00 | $111.92 | $9.87 – $1,049 |
| 13 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $70.00 | $111.92 | $9.87 – $1,049 |
| 14 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $70.00 | $111.92 | $9.87 – $1,049 |
| 15 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $70.00 | $111.92 | $9.87 – $1,049 |
| 16 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 percent of total billed charges · bothfrom % of charges | $100.00 | $159.88 | $14.10 – $1,499 |
| 17 | UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 percent of total billed charges · bothfrom % of charges | $222.04 | $203.45 | $43.01 – $391.62 |
| 18 | UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 percent of total billed charges · bothfrom % of charges | $222.04 | $203.45 | $43.01 – $391.62 |
| 19 | UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 percent of total billed charges · bothfrom % of charges | $222.04 | $203.45 | $43.01 – $391.62 |
| 20 | UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 percent of total billed charges · bothfrom % of charges | $222.04 | $203.45 | $43.01 – $391.62 |
| 21 | UnitedHealthcare 4507_united healthcare standard nexus aco (aus,nw,sw,bas) 20250701 percent of total billed charges · bothfrom % of charges | $222.04 | $203.45 | $43.01 – $391.62 |
| 22 | UnitedHealthcare 4509_united healthcare standard nexus aco (wil,hays) 20250701 percent of total billed charges · bothfrom % of charges | $222.04 | $203.45 | $43.01 – $391.62 |
| 23 | Blue Cross Blue Shield 4093_blue cross blue shield bav exchange (chi,dcn) 20250101 percent of total billed charges · outpatientfrom % of charges | $170.00 | $271.80 | $23.97 – $2,548 |
| 24 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $200.00 | $319.76 | $28.20 – $2,998 |
| 25 | Superior Healthplan 3517_chirp superior star (wil) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $200.00 | $319.76 | $28.20 – $2,998 |
Last updated: Jan 1, 2026
See Blood processing and storage fees pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.