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
Aph Plasma Thawed CP2D Bg 2
Milton, FL
See all hospitals reporting RC 390 →Price type
HMA Santa Rosa Medical Center LLC’s median price of $261 is 34% 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: 14 payers, 30 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 | Medicaid fl medicaid facility · fee schedule · outpatient | $78.35 | $126.23 | $78.35 – $181.75 |
| 2 | Humana humana medicaid fl facility · fee schedule · outpatient | $80.70 | $130.02 | $80.70 – $187.20 |
| 3 | WellCare wellcare medicaid fl facility · fee schedule · outpatient | $82.27 | $132.55 | $82.27 – $190.84 |
| 4 | Molina molina medicaid fl facility · other · outpatient | $88.54 | $142.65 | $88.54 – $205.38 |
| 5 | Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges | $151.57 | $226.24 | $18.54 – $398.58 |
| 6 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $151.57 | $226.24 | $18.54 – $398.58 |
| 7 | Humana node humana mcr ppo pffs facility · fee schedule · outpatient | $248.10 | $295.41 | $49.70 – $478.23 |
| 8 | Tricare node tricare facility · fee schedule · outpatient | $252.14 | $300.22 | $50.51 – $486.01 |
| 9 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $261.16 | $310.96 | $52.32 – $503.40 |
| 10 | Blue Cross Blue Shield node bcbs fl mcr adv facility · fee schedule · outpatient | $261.16 | $310.96 | $52.32 – $503.40 |
| 11 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $261.16 | $310.96 | $52.32 – $503.40 |
| 12 | Humana node humana mcr hmo pos facility · fee schedule · outpatient | $261.16 | $310.96 | $52.32 – $503.40 |
| 13 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $261.16 | $310.96 | $52.32 – $503.40 |
| 14 | Optum node united optum va ccn facility · per diem · outpatient | $265.41 | $316.02 | $53.17 – $511.59 |
| 15 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $274.22 | $326.51 | $54.94 – $528.57 |
| 16 | UnitedHealthcare uhc apa facility · per diem · outpatient | $347.00 | $347.00 | $347.00 – $347.00 |
| 17 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $242.38 | $361.79 | $29.65 – $637.38 |
| 18 | Aetna aetna nab/first health facility · percent of total billed charges · outpatientfrom % of charges | $251.50 | $375.40 | $30.76 – $661.37 |
| 19 | Aetna aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $266.26 | $397.43 | $32.57 – $700.17 |
| 20 | Aetna aetna intl passport facility · percent of total billed charges · inpatientfrom % of charges | $376.25 | $561.60 | $46.02 – $989.40 |
| 21 | Aetna aetna intl passport facility · percent of total billed charges · outpatientfrom % of charges | $376.25 | $561.60 | $46.02 – $989.40 |
| 22 | Ambetter sunshine state health plan commercial exchange facility · fee schedule · outpatient | $634.33 | $755.29 | $127.08 – $1,223 |
| 23 | Bcbs Fl bcbs fl bsl facility · other · outpatient | $670.68 | $760.28 | $82.03 – $1,207 |
| 24 | Bcbs Fl bcbs fl mbn facility · other · outpatient | $670.68 | $760.28 | $82.03 – $1,207 |
| 25 | Bcbs Fl bcbs fl hmo facility · other · outpatient | $670.68 | $789.26 | $82.03 – $1,274 |
Last updated: Apr 1, 2026
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