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, PATHOGEN-REDUCED, EACH UNIT
Glendale, CA
See all hospitals reporting RC 390 →Price type
Glendale Adventist Medical Center’s median price of $265 is 33% below the median hospital's median price ($397), higher than 26% 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, 31 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 | Cigna cigna all other - all other plans fee schedule · outpatient | $86.03 | $82.36 | $28.29 – $120.74 |
| 2 | Cigna cigna hmo fee schedule · outpatient | $86.03 | $82.36 | $28.29 – $120.74 |
| 3 | Aetna aetna - all plans fee schedule · outpatient | $101.51 | $99.69 | $49.15 – $142.99 |
| 4 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $149.09 | $133.62 | $67.82 – $167.33 |
| 5 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $165.66 | $148.47 | $75.36 – $185.92 |
| 6 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $198.79 | $178.17 | $90.43 – $223.11 |
| 7 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $163.02 | $178.67 | $26.86 – $414.37 |
| 8 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $187.83 | $205.86 | $30.95 – $477.42 |
| 9 | Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges | $210.43 | $230.62 | $34.68 – $534.85 |
| 10 | Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges | $210.43 | $230.62 | $34.68 – $534.85 |
| 11 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $282.10 | $247.30 | $33.22 – $512.33 |
| 12 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $282.10 | $247.30 | $33.22 – $512.33 |
| 13 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $300.02 | $263.00 | $35.32 – $544.87 |
| 14 | Blue Cross Blue Shield blue shield mcr adv other · outpatient | $219.12 | $263.91 | $8.77 – $680.61 |
| 15 | Blue Cross Blue Shield tricare blue shield - all plans other · outpatient | $219.12 | $263.91 | $8.77 – $680.61 |
| 16 | Molina molina mcr other · outpatient | $219.12 | $263.91 | $8.77 – $680.61 |
| 17 | UnitedHealthcare uhc mcr adv other · outpatient | $219.12 | $263.91 | $8.77 – $680.61 |
| 18 | Blue Cross Blue Shield blue cross mcr adv other · outpatient | $227.89 | $274.47 | $9.12 – $707.83 |
| 19 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $316.20 | $277.19 | $37.23 – $574.26 |
| 20 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $256.94 | $281.60 | $42.34 – $653.08 |
| 21 | Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient | $333.37 | $292.24 | $39.25 – $605.45 |
| 22 | Blue Cross Blue Shield blue cross non-mcs case rate · outpatient | $333.37 | $292.24 | $39.25 – $605.45 |
| 23 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $287.95 | $315.58 | $47.45 – $731.90 |
| 24 | Medicaid medi-cal fee schedule · outpatient | $214.01 | $320.23 | $10.06 – $896.01 |
| 25 | Molina molina mcal fee schedule · outpatient | $214.01 | $320.23 | $10.06 – $896.01 |
Last updated: Jul 30, 2026
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