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
PLASMA PRO FRACT 5% 250ML
Sacramento, CA
See all hospitals reporting RC 390 →Price type
Dignity Health’s median price of $225 is 43% below the median hospital's median price ($397), higher than 18% 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, 30 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 | Aetna commercial|all other plans fee schedule · outpatient | $60.87 | $89.40 | $42.00 – $164.50 |
| 2 | Aetna commercial|hmo fee schedule · outpatient | $60.87 | $89.40 | $42.00 – $164.50 |
| 3 | Aetna commercial|ppo fee schedule · outpatient | $60.87 | $89.40 | $42.00 – $164.50 |
| 4 | Cigna commercial|localplus fee schedule · outpatient | $72.81 | $98.92 | $57.48 – $196.18 |
| 5 | Cigna commercial|all other plans fee schedule · outpatient | $97.08 | $131.90 | $76.64 – $261.59 |
| 6 | Kaiser medicaid|all plans fee schedule · outpatient | $172.41 | $197.18 | $17.22 – $453.87 |
| 7 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $240.27 | $266.99 | $41.24 – $624.66 |
| 8 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $240.27 | $266.99 | $41.24 – $624.66 |
| 9 | Anthem medicare|all other plans fee schedule · outpatient | $180.32 | $267.26 | $39.61 – $837.27 |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $191.22 | $283.42 | $42.00 – $887.88 |
| 11 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $191.22 | $283.42 | $42.00 – $887.88 |
| 12 | Humana commercial|all plans fee schedule · outpatient | $191.22 | $283.42 | $42.00 – $887.88 |
| 13 | Molina medicare|all plans fee schedule · outpatient | $191.22 | $283.42 | $42.00 – $887.88 |
| 14 | Anthem medicare|imperial fee schedule · outpatient | $196.95 | $291.92 | $43.26 – $914.52 |
| 15 | Blue Cross Blue Shield medicare|hmo case rate · outpatient | $225.18 | $310.23 | $83.54 – $887.88 |
| 16 | Kaiser medicare|all plans case rate · outpatient | $225.18 | $310.23 | $83.54 – $887.88 |
| 17 | UnitedHealthcare medicare|all plans case rate · outpatient | $225.18 | $310.23 | $83.54 – $887.88 |
| 18 | Anthem commercial|connection epo fee schedule · outpatient | $299.88 | $320.36 | $33.60 – $697.41 |
| 19 | First Health commercial|all plans fee schedule · inpatient | $315.38 | $360.69 | $31.50 – $830.25 |
| 20 | First Health commercial|all plans fee schedule · outpatient | $315.38 | $360.69 | $31.50 – $830.25 |
| 21 | Kaiser commercial|all plans fee schedule · outpatient | $332.20 | $379.93 | $33.18 – $874.53 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $336.40 | $384.74 | $33.60 – $885.60 |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $336.40 | $384.74 | $33.60 – $885.60 |
| 24 | Anthem commercial|all other plans fee schedule · outpatient | $376.04 | $401.62 | $42.00 – $874.53 |
| 25 | Molina medicaid|all plans fee schedule · outpatient | $366.94 | $437.10 | $77.53 – $1,107 |
Last updated: Feb 28, 2026
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