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
PLATELET APH/PHER LR CMV-NEG
Green Bay, WI
See all hospitals reporting RC 390 →Price type
Aurora BayCare Medical Center’s median price of $690 is 74% above the median hospital's median price ($397), higher than 83% 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: 6 payers, 21 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 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $476.60 | $534.18 | $80.10 – $1,202 |
| 2 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $535.50 | $600.20 | $90.00 – $1,350 |
| 3 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $535.50 | $600.20 | $90.00 – $1,350 |
| 4 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $535.50 | $600.20 | $90.00 – $1,350 |
| 5 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $580.13 | $650.22 | $97.50 – $1,463 |
| 6 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $669.38 | $750.25 | $112.50 – $1,688 |
| 7 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $669.38 | $750.25 | $112.50 – $1,688 |
| 8 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $669.38 | $750.25 | $112.50 – $1,688 |
| 9 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $669.38 | $750.25 | $112.50 – $1,688 |
| 10 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $737.21 | $826.28 | $123.90 – $1,859 |
| 11 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $737.21 | $826.28 | $123.90 – $1,859 |
| 12 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $751.49 | $842.28 | $126.30 – $1,895 |
| 13 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $751.49 | $842.28 | $126.30 – $1,895 |
| 14 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $755.06 | $846.28 | $126.90 – $1,904 |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $755.06 | $846.28 | $126.90 – $1,904 |
| 16 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $758.63 | $850.28 | $127.50 – $1,913 |
| 17 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $758.63 | $850.28 | $127.50 – $1,913 |
| 18 | UnitedHealthcare exchange case rate · outpatient | $1,223 | $1,223 | $1,223 – $1,223 |
| 19 | UnitedHealthcare charter case rate · outpatient | $1,232 | $1,232 | $1,232 – $1,232 |
| 20 | UnitedHealthcare nexus case rate · outpatient | $1,232 | $1,232 | $1,232 – $1,232 |
| 21 | UnitedHealthcare hmo case rate · outpatient | $1,341 | $1,341 | $1,341 – $1,341 |
Last updated: Nov 21, 2025
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