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 PLTPHER LEUKORED LVDS
La Mesa, CA
See all hospitals reporting RC 390 →Price type
Grossmont Hospital Corporation’s median price of $211 is 47% below the median hospital's median price ($397), higher than 16% 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, 80 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 first health - leased/ccn fee schedule · inpatient | $0.26 | $0.26 | $0.26 – $0.26 |
| 2 | Aetna first health - leased/ccn fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 3 | Blue Cross Blue Shield blue cross - mcs fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 4 | Blue Cross Blue Shield blue shield - ppo fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 5 | Molina molina medi-cal fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 6 | MultiPlan multiplan fee schedule · outpatient | $1.00 | $1.05 | $1.00 – $1.15 |
| 7 | Cigna cigna - ppo fee schedule · outpatient | $1.08 | $1.08 | $1.00 – $1.15 |
| 8 | UnitedHealthcare united healthcare - ppo fee schedule · outpatient | $1.10 | $1.08 | $1.00 – $1.15 |
| 9 | Aetna aetna - hmo/pos fee schedule · outpatient | $1.16 | $1.16 | $1.16 – $1.16 |
| 10 | Humana choice care network fee schedule · outpatient | $1.23 | $1.23 | $1.15 – $1.30 |
| 11 | UnitedHealthcare united healthcare - medicare fee schedule · outpatient | $4.73 | $41.86 | $1.00 – $119.86 |
| 12 | Molina molina - exchange fee schedule · outpatient | $60.51 | $60.51 | $1.15 – $119.86 |
| 13 | Blue Cross Blue Shield blue shield - promise fee schedule · outpatient | $1.00 | $102.26 | $1.00 – $304.79 |
| 14 | Kaiser kaiser - hmo fee schedule · outpatient | $1.99 | $102.59 | $1.00 – $304.79 |
| 15 | Molina molina - cal medi-connect fee schedule · outpatient | $119.86 | $119.86 | $119.86 – $119.86 |
| 16 | Medicaid medi-cal fee schedule · outpatient | $127.49 | $127.49 | $119.86 – $135.12 |
| 17 | Blue Cross Blue Shield blue shield - ppo fee schedule · inpatient | $135.12 | $135.12 | $135.12 – $135.12 |
| 18 | Blue Cross Blue Shield blue cross - mcs percent of total billed charges · inpatientfrom % of charges | $118.98 | $145.09 | $72.50 – $232.20 |
| 19 | Blue Cross Blue Shield blue cross - prudent buyer percent of total billed charges · outpatientfrom % of charges | $129.54 | $158.53 | $51.08 – $380.75 |
| 20 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $122.15 | $170.92 | $74.37 – $405.35 |
| 21 | Molina molina - cal medi-connect percent of total billed charges · outpatientfrom % of charges | $136.29 | $187.94 | $104.92 – $384.60 |
| 22 | Blue Cross Blue Shield blue cross - hmo fee schedule · outpatient | $304.79 | $204.31 | $1.00 – $307.13 |
| 23 | Blue Cross Blue Shield blue cross - standard percent of total billed charges · outpatientfrom % of charges | $190.02 | $213.60 | $57.60 – $456.00 |
| 24 | Humana choice care network percent of total billed charges · outpatientfrom % of charges | $188.00 | $236.07 | $87.00 – $548.80 |
| 25 | Blue Cross Blue Shield blue cross - hmo percent of total billed charges · outpatientfrom % of charges | $171.00 | $237.12 | $92.68 – $608.00 |
Last updated: Apr 1, 2026
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