RC 391
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
HC PUSH TRANSFUSION BLOOD 2 YR/UNDER
Fort Worth, TX
See all hospitals reporting RC 391 →Price type
Baylor Scott & White All Saints Medical Center - Fort Worth’s median price of $567 is 17% below the median hospital's median price ($679), higher than 39% of the 1,881 hospitals reporting RC 391. 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, 32 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 | Superior Healthplan medicaid facility · fee schedule · outpatient | $164.30 | $119.78 | $30.73 – $164.30 |
| 2 | Aetna medicaid facility · fee schedule · outpatient | $167.59 | $122.17 | $31.34 – $167.59 |
| 3 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $175.80 | $128.16 | $32.88 – $175.80 |
| 4 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $266.42 | $266.42 | $266.42 – $266.42 |
| 5 | Aetna medicaid facility · percent of total billed charges · outpatientfrom % of charges | $271.74 | $271.74 | $271.74 – $271.74 |
| 6 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $285.07 | $285.07 | $285.07 – $285.07 |
| 7 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $421.02 | $421.02 | $421.02 – $421.02 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $443.18 | $443.18 | $443.18 – $443.18 |
| 9 | Humana medicare facility · fee schedule · outpatient | $443.18 | $443.18 | $443.18 – $443.18 |
| 10 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $465.34 | $465.34 | $465.34 – $465.34 |
| 11 | Superior Healthplan medicare facility · fee schedule · outpatient | $465.34 | $465.34 | $465.34 – $465.34 |
| 12 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $496.36 | $496.36 | $496.36 – $496.36 |
| 13 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $543.03 | $502.60 | $283.30 – $641.03 |
| 14 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $531.82 | $531.82 | $531.82 – $531.82 |
| 15 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $556.19 | $556.19 | $556.19 – $556.19 |
| 16 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $764.89 | $707.94 | $399.04 – $902.94 |
| 17 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $764.89 | $707.94 | $399.04 – $902.94 |
| 18 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $731.25 | $731.25 | $731.25 – $731.25 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $853.33 | $789.80 | $445.18 – $1,007 |
| 20 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $899.88 | $832.87 | $469.46 – $1,062 |
| 21 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $899.88 | $832.87 | $469.46 – $1,062 |
| 22 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $964.89 | $893.04 | $503.38 – $1,139 |
| 23 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $964.89 | $893.04 | $503.38 – $1,139 |
| 24 | Ambetter ambetter exchange facility · fee schedule · outpatient | $952.84 | $952.84 | $952.84 – $952.84 |
| 25 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $1,040 | $962.12 | $542.31 – $1,227 |
Last updated: Jun 29, 2026
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