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
BB Bill Frz-Thaw Tech
Wayne, IN
See all hospitals reporting RC 390 →Price type
Dupont Hospital LLC’s median price of $669 is 69% above the median hospital's median price ($397), higher than 81% 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: 12 payers, 41 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 | Anthem anthem in healthsync professional · fee schedule · outpatient | $33.13 | $33.13 | $24.20 – $42.05 |
| 2 | Anthem anthem in hmo ppo trad professional · fee schedule · outpatient | $33.13 | $33.13 | $24.20 – $42.05 |
| 3 | Anthem anthem in marketplace stld professional · fee schedule · outpatient | $33.13 | $33.13 | $24.20 – $42.05 |
| 4 | Anthem anthem in medicaid facility · per diem · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 5 | Caresource caresource hhw in medicaid facility · per diem · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 6 | Caresource caresource in hip facility · per diem · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 7 | Humana humana pathways in medicaid facility · per diem · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 8 | Medicaid in medicaid facility · per diem · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 9 | UnitedHealthcare uhc hcc in medicaid facility · per diem · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 10 | UnitedHealthcare uhc pathways in medicaid facility · per diem · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 11 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $163.75 | $289.98 | $35.00 – $840.55 |
| 12 | Tricare node tricare facility · fee schedule · outpatient | $175.66 | $311.07 | $37.54 – $901.67 |
| 13 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $181.95 | $322.20 | $38.89 – $933.94 |
| 14 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $181.95 | $322.20 | $38.89 – $933.94 |
| 15 | Humana node humana mcr adv facility · fee schedule · outpatient | $181.95 | $322.20 | $38.89 – $933.94 |
| 16 | Anthem anthem in hip facility · fee schedule · outpatient | $184.91 | $327.44 | $39.52 – $949.13 |
| 17 | Optum node united optum va ccn facility · per diem · outpatient | $184.91 | $327.44 | $39.52 – $949.13 |
| 18 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $185.59 | $328.65 | $39.67 – $952.62 |
| 19 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $277.37 | $491.17 | $59.28 – $1,424 |
| 20 | Anthem anthem in work comp facility · other · outpatient | $295.86 | $523.91 | $63.23 – $1,519 |
| 21 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $765.83 | $836.81 | $161.82 – $2,025 |
| 22 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $765.83 | $836.81 | $161.82 – $2,025 |
| 23 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $860.67 | $940.44 | $181.86 – $2,276 |
| 24 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $860.67 | $940.44 | $181.86 – $2,276 |
| 25 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $877.27 | $958.57 | $185.37 – $2,320 |
Last updated: Apr 1, 2026
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