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 Platelet Pheresis L/R Irr Ea
Montclair, NJ
See all hospitals reporting RC 390 →Price type
Hackensack Meridian Mountainside Medical Center’s median price of $804 is 103% above the median hospital's median price ($397), higher than 89% 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, 16 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 aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $192.38 | $277.33 | $34.22 – $779.63 |
| 2 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $515.52 | $743.17 | $91.70 – $2,089 |
| 3 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $515.52 | $743.17 | $91.70 – $2,089 |
| 4 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $515.52 | $743.17 | $91.70 – $2,089 |
| 5 | Medicare rehab medicare [163504] facility · percent of total billed charges · bothfrom % of charges | $515.52 | $743.17 | $91.70 – $2,089 |
| 6 | First Health first health network [137501] facility · percent of total billed charges · bothfrom % of charges | $943.04 | $1,359 | $167.74 – $3,822 |
| 7 | Cigna cigna behavioral health [126013] facility · percent of total billed charges · bothfrom % of charges | $1,006 | $1,450 | $178.92 – $4,077 |
| 8 | Aetna aetna liberty [101531] facility · percent of total billed charges · bothfrom % of charges | $904.84 | $1,512 | $553.61 – $2,773 |
| 9 | First Health tall tree administrators [137508] facility · percent of total billed charges · bothfrom % of charges | $1,069 | $1,541 | $190.10 – $4,331 |
| 10 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $1,069 | $1,541 | $190.10 – $4,331 |
| 11 | MultiPlan ihc hs [168011] facility · percent of total billed charges · bothfrom % of charges | $1,069 | $1,541 | $190.10 – $4,331 |
| 12 | Phcs group health cooperative scw [178012] facility · percent of total billed charges · bothfrom % of charges | $1,069 | $1,541 | $190.10 – $4,331 |
| 13 | Aetna aetna ppo [101526] facility · percent of total billed charges · bothfrom % of charges | $1,104 | $1,591 | $196.36 – $4,474 |
| 14 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $1,168 | $1,684 | $207.77 – $4,734 |
| 15 | Cigna cigna hmo pos open access [126018] facility · percent of total billed charges · bothfrom % of charges | $1,223 | $1,763 | $217.50 – $4,956 |
| 16 | Cigna cigna indemnity [126019] facility · percent of total billed charges · bothfrom % of charges | $1,223 | $1,763 | $217.50 – $4,956 |
Last updated: Feb 12, 2026
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