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
Platelets pheresis path redu
Syracuse, NY
See all hospitals reporting RC 390 →Price type
Crouse Hospital’s median price of $478 is 21% above the median hospital's median price ($397), higher than 64% 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, 19 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 | UnitedHealthcare commerical fee schedule · outpatient | $118.80 | $118.80 | $118.80 – $118.80 |
| 2 | UnitedHealthcare commerical percent of total billed charges · outpatientfrom % of charges | $209.48 | $293.22 | $178.36 – $575.54 |
| 3 | Aetna commerical percent of total billed charges · outpatientfrom % of charges | $234.54 | $294.87 | $68.88 – $575.53 |
| 4 | Aetna raymour furniture company percent of total billed charges · outpatientfrom % of charges | $234.54 | $294.87 | $68.88 – $575.53 |
| 5 | Humana commerical percent of total billed charges · outpatientfrom % of charges | $320.62 | $320.34 | $64.59 – $575.53 |
| 6 | Excellus medicare advantage fee schedule · outpatient | $274.66 | $332.24 | $64.31 – $648.14 |
| 7 | Aetna medicare fee schedule · outpatient | $314.50 | $380.44 | $73.64 – $742.17 |
| 8 | Humana medicare advantage fee schedule · outpatient | $314.50 | $380.44 | $73.64 – $742.17 |
| 9 | UnitedHealthcare medicare fee schedule · outpatient | $314.50 | $380.44 | $73.64 – $742.17 |
| 10 | WellCare medicare advantage fee schedule · outpatient | $330.23 | $399.46 | $77.32 – $779.28 |
| 11 | Excellus govt programs/ special products fee schedule · outpatient | $478.30 | $481.60 | $69.89 – $588.64 |
| 12 | Molina medicaid hmo fee schedule · outpatient | $478.30 | $481.60 | $69.89 – $588.64 |
| 13 | UnitedHealthcare essential plans 1 -4 fee schedule · outpatient | $478.30 | $481.60 | $69.89 – $588.64 |
| 14 | UnitedHealthcare medicaid fee schedule · outpatient | $478.30 | $481.60 | $69.89 – $588.64 |
| 15 | WellCare medicaid essential plan 3 and 4 fee schedule · outpatient | $478.30 | $481.60 | $69.89 – $588.64 |
| 16 | WellCare medicaid essential plan 1 and 2 fee schedule · outpatient | $573.96 | $577.92 | $83.87 – $706.37 |
| 17 | Excellus bcbs fee schedule · outpatient | $564.82 | $683.23 | $132.25 – $1,333 |
| 18 | Excellus hospital blue fee schedule · outpatient | $564.82 | $683.23 | $132.25 – $1,333 |
| 19 | Molina essential fee schedule · outpatient | $1,076 | $1,084 | $157.26 – $1,324 |
Last updated: May 19, 2026
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