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 LSDP PATHOGEN REDUCED PLATELETS, PHERESIS, EACH UNIT
Mequon, WI
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Froedtert Community Hospital Mequon’s median price of $446 is 12% above the median hospital's median price ($397), higher than 57% 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, 14 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 nexus case rate · outpatient | $271.00 | $271.00 | $271.00 – $271.00 |
| 2 | UnitedHealthcare choice plus/navigate case rate · outpatient | $319.00 | $319.00 | $319.00 – $319.00 |
| 3 | UnitedHealthcare options ppo case rate · outpatient | $382.00 | $382.00 | $382.00 – $382.00 |
| 4 | Anthem medicare advantage fee schedule · outpatient | $421.54 | $403.09 | $182.00 – $587.28 |
| 5 | Humana medicare advantage fee schedule · outpatient | $421.54 | $403.09 | $182.00 – $587.28 |
| 6 | Molina medicare advantage fee schedule · outpatient | $421.54 | $403.09 | $182.00 – $587.28 |
| 7 | UnitedHealthcare medicare advantage fee schedule · outpatient | $421.54 | $403.09 | $182.00 – $587.28 |
| 8 | Anthem blue preferred/hmo/pos percent of total billed charges · outpatientfrom % of charges | $511.43 | $576.06 | $221.85 – $1,060 |
| 9 | Anthem federal/out of state/ppo percent of total billed charges · outpatientfrom % of charges | $511.43 | $576.06 | $221.85 – $1,060 |
| 10 | Cigna all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $667.13 | $751.43 | $289.39 – $1,382 |
| 11 | MultiPlan all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $988.76 | $1,114 | $428.91 – $2,048 |
| 12 | MultiPlan all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $988.76 | $1,114 | $428.91 – $2,048 |
| 13 | First Health all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $1,000 | $1,127 | $433.84 – $2,072 |
| 14 | First Health all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $1,000 | $1,127 | $433.84 – $2,072 |
Last updated: Dec 31, 2025
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