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
COVID-19 CONVALESCENT PLASMA PHERESIS
Covington, TN
See all hospitals reporting RC 390 →Price type
Baptist Memorial Hospital-Tipton’s median price of $444 is 12% above the median hospital's median price ($397), higher than 57% 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, 41 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 firstsource ppo/healthadvantage hmo/preferred payment plan/trueblue exchange ppo/trueblue non-exchange ppo facility · percent of total billed charges · outpatientfrom % of charges | $139.15 | $139.15 | $139.15 – $139.15 |
| 2 | Blue Cross Blue Shield trueblue individual metallic-level plan facility · percent of total billed charges · outpatientfrom % of charges | $139.15 | $139.15 | $139.15 – $139.15 |
| 3 | Blue Cross Blue Shield tenncare facility · fee schedule · outpatient | $123.69 | $316.41 | $36.48 – $992.12 |
| 4 | Blue Cross Blue Shield lppo facility · fee schedule · outpatient | $226.44 | $319.51 | $45.71 – $1,531 |
| 5 | Devoted medicare facility · fee schedule · outpatient | $226.44 | $319.51 | $45.71 – $1,531 |
| 6 | Molina medicaid facility · fee schedule · outpatient | $226.44 | $319.51 | $45.71 – $1,531 |
| 7 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $229.77 | $324.21 | $45.71 – $1,576 |
| 8 | Aetna medicare facility · fee schedule · outpatient | $233.10 | $328.91 | $47.05 – $1,576 |
| 9 | Blue Cross Blue Shield dsnp facility · fee schedule · outpatient | $233.10 | $328.91 | $47.05 – $1,576 |
| 10 | Humana medicare facility · fee schedule · outpatient | $233.10 | $328.91 | $47.05 – $1,576 |
| 11 | Blue Cross Blue Shield coverkids facility · fee schedule · outpatient | $134.03 | $342.87 | $39.53 – $1,075 |
| 12 | Blue Cross Blue Shield firstsource ppo/healthadvantage hmo/preferred payment plan/trueblue exchange ppo/trueblue non-exchange ppo facility · fee schedule · outpatient | $267.05 | $347.18 | $76.67 – $1,383 |
| 13 | Blue Cross Blue Shield trueblue individual metallic-level plan facility · fee schedule · outpatient | $267.05 | $347.18 | $76.67 – $1,383 |
| 14 | Oscar commercial facility · fee schedule · outpatient | $372.96 | $526.25 | $75.28 – $2,522 |
| 15 | Molina chip facility · fee schedule · outpatient | $388.50 | $548.18 | $78.42 – $2,627 |
| 16 | Molina exchange facility · fee schedule · outpatient | $410.70 | $579.50 | $82.90 – $2,777 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $753.45 | $756.56 | $65.00 – $1,886 |
| 18 | Blue Cross Blue Shield tenncare facility · case rate · outpatient | $1,006 | $1,006 | $1,006 – $1,006 |
| 19 | Blue Cross Blue Shield network e facility · percent of total billed charges · outpatientfrom % of charges | $1,001 | $1,022 | $95.00 – $2,389 |
| 20 | Blue Cross Blue Shield coverkids facility · case rate · outpatient | $1,090 | $1,090 | $1,090 – $1,090 |
| 21 | Blue Cross Blue Shield network l facility · percent of total billed charges · outpatientfrom % of charges | $1,107 | $1,130 | $105.00 – $2,640 |
| 22 | Blue Cross Blue Shield network s facility · percent of total billed charges · outpatientfrom % of charges | $1,107 | $1,130 | $105.00 – $2,640 |
| 23 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $1,178 | $1,162 | $107.50 – $2,703 |
| 24 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $1,141 | $1,165 | $108.25 – $2,722 |
| 25 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,141 | $1,165 | $108.25 – $2,722 |
Last updated: Feb 27, 2026
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