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
HB PLASMA FROZEN 18-24 HRS AFTER COLLECTION
Wyandotte, MI
See all hospitals reporting RC 390 →Price type
Henry Ford Wyandotte Hospital’s median price of $185 is 53% below the median hospital's median price ($397), higher than 10% 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: 9 payers, 20 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 Better Health medicaid hmo facility · fee schedule · outpatient | $84.54 | $112.31 | $38.38 – $363.08 |
| 2 | Molina medicaid hmo facility · fee schedule · outpatient | $87.30 | $115.97 | $39.63 – $374.91 |
| 3 | Amerihealth Caritas dual products facility · fee schedule · outpatient | $176.73 | $243.37 | $68.77 – $650.51 |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $180.34 | $248.34 | $70.17 – $663.79 |
| 5 | Blue Cross Blue Shield bcn advantage facility · fee schedule · outpatient | $180.34 | $248.34 | $70.17 – $663.79 |
| 6 | Blue Cross Blue Shield medicare plus blue facility · fee schedule · outpatient | $180.34 | $248.34 | $70.17 – $663.79 |
| 7 | Molina dual mi coordinated health facility · fee schedule · outpatient | $180.34 | $248.34 | $70.17 – $663.79 |
| 8 | UnitedHealthcare erickson advantage facility · fee schedule · outpatient | $180.34 | $248.34 | $70.17 – $663.79 |
| 9 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $180.34 | $248.34 | $70.17 – $663.79 |
| 10 | WellCare medicare advantage facility · fee schedule · outpatient | $180.34 | $248.34 | $70.17 – $663.79 |
| 11 | WellCare wellcare meridian dual align (hmo d-snp) facility · fee schedule · outpatient | $180.34 | $248.34 | $70.17 – $663.79 |
| 12 | Humana medicare advantage facility · fee schedule · outpatient | $182.14 | $250.82 | $70.87 – $670.42 |
| 13 | Aetna dual products facility · fee schedule · outpatient | $198.37 | $273.17 | $77.19 – $730.16 |
| 14 | Blue Cross Blue Shield bcbsm commercial facility · fee schedule · outpatient | $369.53 | $512.65 | $129.07 – $1,372 |
| 15 | Blue Cross Blue Shield bcn commercial facility · fee schedule · outpatient | $369.53 | $512.65 | $129.07 – $1,372 |
| 16 | Blue Cross Blue Shield bcbsm gm connected care facility · fee schedule · outpatient | $505.30 | $701.00 | $176.50 – $1,876 |
| 17 | UnitedHealthcare baseline benefit plan facility · percent of total billed charges · outpatientfrom % of charges | $535.58 | $725.97 | $142.13 – $2,071 |
| 18 | UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges | $535.58 | $725.97 | $142.13 – $2,071 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $552.26 | $748.58 | $146.56 – $2,135 |
| 20 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $588.26 | $797.37 | $156.11 – $2,275 |
Last updated: Jun 28, 2026
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