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
Plt Pheresis Lr Xm Ea Unit
Melrose Park, IL
See all hospitals reporting RC 390 →Price type
Gottlieb Memorial Hospital’s median price of $360 is 9% below the median hospital's median price ($397), higher than 44% 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: 8 payers, 21 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 hmo facility · fee schedule · outpatient | $61.86 | $60.50 | $44.83 – $73.44 |
| 2 | Molina medicaid facility · case rate · outpatient | $300.62 | $218.14 | $84.60 – $300.62 |
| 3 | Blue Cross Blue Shield mmp/duals facility · fee schedule · outpatient | $217.15 | $290.73 | $57.59 – $753.74 |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $233.49 | $312.61 | $61.92 – $810.47 |
| 5 | Humana medicare advantage facility · fee schedule · outpatient | $238.87 | $319.80 | $63.34 – $829.11 |
| 6 | Cigna medicare advantage facility · fee schedule · outpatient | $240.50 | $321.99 | $63.78 – $834.79 |
| 7 | Molina medicare advantage facility · fee schedule · outpatient | $245.17 | $328.24 | $65.02 – $850.99 |
| 8 | WellCare medicare advantage facility · fee schedule · outpatient | $245.17 | $328.24 | $65.02 – $850.99 |
| 9 | Oscar health exchange facility · fee schedule · outpatient | $256.85 | $343.87 | $68.11 – $891.52 |
| 10 | UnitedHealthcare navigate core facility · other · outpatient | $384.00 | $384.00 | $384.00 – $384.00 |
| 11 | Molina health exchange facility · fee schedule · outpatient | $291.87 | $390.76 | $77.40 – $1,013 |
| 12 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $328.99 | $413.78 | $0.30 – $3,612 |
| 13 | UnitedHealthcare all products facility · other · outpatient | $419.00 | $419.00 | $419.00 – $419.00 |
| 14 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $458.80 | $560.36 | $0.43 – $5,112 |
| 15 | Aetna all products facility · percent of total billed charges · outpatientfrom % of charges | $473.88 | $578.77 | $0.44 – $5,280 |
| 16 | Blue Cross Blue Shield blue choice facility · percent of total billed charges · outpatientfrom % of charges | $497.57 | $607.71 | $0.47 – $5,544 |
| 17 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $619.28 | $756.35 | $0.58 – $6,899 |
| 18 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $721.59 | $881.31 | $0.68 – $8,039 |
| 19 | Blue Cross Blue Shield blue precision facility · percent of total billed charges · outpatientfrom % of charges | $749.59 | $915.51 | $0.70 – $8,351 |
| 20 | Aetna fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $786.21 | $960.24 | $0.74 – $8,759 |
| 21 | Humana all products facility · percent of total billed charges · outpatientfrom % of charges | $902.53 | $1,102 | $0.85 – $10,055 |
Last updated: Mar 31, 2026
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