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
ARC WBC REMOVAL FILTER RCXL-1
Philippi, WV
See all hospitals reporting RC 390 →Price type
Broaddus Hospital Association Inc’s median price of $514 is 30% above the median hospital's median price ($397), higher than 69% 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: 7 payers, 15 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 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $416.10 | $403.55 | $58.28 – $736.28 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $442.40 | $429.07 | $61.97 – $782.83 |
| 3 | Highmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $442.40 | $429.07 | $61.97 – $782.83 |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $442.40 | $429.07 | $61.97 – $782.83 |
| 5 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $442.40 | $429.07 | $61.97 – $782.83 |
| 6 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $508.16 | $492.85 | $71.18 – $899.20 |
| 7 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $508.16 | $492.85 | $71.18 – $899.20 |
| 8 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $534.47 | $518.36 | $74.86 – $945.74 |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $534.47 | $518.36 | $74.86 – $945.74 |
| 10 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $534.47 | $518.36 | $74.86 – $945.74 |
| 11 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $534.47 | $518.36 | $74.86 – $945.74 |
| 12 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $555.99 | $539.23 | $77.88 – $983.83 |
| 13 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $555.99 | $539.23 | $77.88 – $983.83 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $580.50 | $563.00 | $81.31 – $1,027 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $580.50 | $563.00 | $81.31 – $1,027 |
Last updated: Jul 31, 2026
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