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
HC BLOOD, SPLIT UNIT – LRBC
Rowlett, TX
See all hospitals reporting RC 390 →Price type
Baylor Scott & White Medical Center - Lake Pointe’s median price of $401 is about the same as the median hospital's median price ($397), higher than 51% 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: 10 payers, 34 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 · percent of total billed charges · outpatientfrom % of charges | $96.04 | $133.54 | — – $693.36 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $102.76 | $142.89 | — – $741.89 |
| 3 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $177.33 | $272.05 | $32.99 – $768.88 |
| 4 | Humana medicare facility · fee schedule · outpatient | $186.66 | $286.36 | $34.73 – $809.35 |
| 5 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $195.99 | $300.68 | $36.47 – $849.82 |
| 6 | Molina medicare advantage facility · fee schedule · outpatient | $195.99 | $300.68 | $36.47 – $849.82 |
| 7 | Superior Healthplan medicare facility · fee schedule · outpatient | $195.99 | $300.68 | $36.47 – $849.82 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $209.06 | $320.73 | $38.90 – $906.47 |
| 9 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $223.99 | $343.64 | $41.68 – $971.22 |
| 10 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $234.26 | $359.39 | $43.59 – $1,016 |
| 11 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $302.08 | $419.35 | — – $2,206 |
| 12 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $307.99 | $472.50 | $57.30 – $1,335 |
| 13 | 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 | $430.41 | $598.51 | — – $3,108 |
| 14 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $430.41 | $598.51 | — – $3,108 |
| 15 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $431.55 | $599.07 | $0.01 – $3,152 |
| 16 | Ambetter ambetter exchange facility · fee schedule · outpatient | $401.32 | $615.68 | $74.67 – $1,740 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $480.18 | $667.71 | $0.01 – $3,467 |
| 18 | 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 | $506.37 | $704.13 | $0.01 – $3,656 |
| 19 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $506.37 | $704.13 | $0.01 – $3,656 |
| 20 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $542.95 | $755.00 | $0.01 – $3,920 |
| 21 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $542.95 | $755.00 | $0.01 – $3,920 |
| 22 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $578.28 | $802.75 | $0.01 – $4,223 |
| 23 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $604.17 | $838.69 | $0.01 – $4,412 |
| 24 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $603.28 | $838.89 | $0.01 – $4,356 |
| 25 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $611.13 | $849.82 | $0.01 – $4,412 |
Last updated: Jun 29, 2026
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