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 ACDA Frz<=24 200-400
Jackson, MS
See all hospitals reporting RC 390 →Price type
Jackson HMA LLC’s median price of $245 is 38% below the median hospital's median price ($397), higher than 21% 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: 12 payers, 22 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 | UnitedHealthcare uhc chip medicaid ms facility · case rate · outpatient | $113.71 | $112.30 | $48.44 – $371.19 |
| 2 | UnitedHealthcare uhc medicaid ms facility · case rate · outpatient | $113.71 | $112.30 | $48.44 – $371.19 |
| 3 | Molina molina medicaid ms facility · other · outpatient | $114.85 | $113.43 | $48.92 – $374.90 |
| 4 | Caresource caresource truecare facility · case rate · outpatient | $115.98 | $114.55 | $49.41 – $378.61 |
| 5 | Molina molina chip facility · other · outpatient | $122.81 | $121.29 | $52.32 – $400.89 |
| 6 | Tricare node tricare facility · fee schedule · outpatient | $137.96 | $145.45 | $68.35 – $486.01 |
| 7 | Humana node humana mcr adv facility · fee schedule · outpatient | $142.90 | $150.65 | $70.80 – $503.40 |
| 8 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $142.90 | $150.65 | $70.80 – $503.40 |
| 9 | Optum node united optum va ccn facility · fee schedule · outpatient | $145.22 | $153.11 | $71.95 – $511.59 |
| 10 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $145.76 | $153.67 | $72.22 – $513.47 |
| 11 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $145.76 | $153.67 | $72.22 – $513.47 |
| 12 | Molina node molina mcr adv facility · fee schedule · outpatient | $145.76 | $153.67 | $72.22 – $513.47 |
| 13 | Aetna node first choice aetna mcr adv facility · fee schedule · outpatient | $147.19 | $155.18 | $72.92 – $518.50 |
| 14 | WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient | $148.12 | $156.17 | $73.39 – $521.82 |
| 15 | Blue Cross Blue Shield bcbs ms fmp facility · fee schedule · outpatient | $297.40 | $230.25 | $105.00 – $681.00 |
| 16 | Molina molina exchange facility · fee schedule · outpatient | $296.31 | $267.51 | $124.51 – $851.92 |
| 17 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $370.56 | $447.56 | $110.32 – $723.78 |
| 18 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges | $398.77 | $481.64 | $118.72 – $778.89 |
| 19 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $398.77 | $481.64 | $118.72 – $778.89 |
| 20 | UnitedHealthcare uhc iex facility · per diem · outpatient | $598.00 | $598.00 | $598.00 – $598.00 |
| 21 | UnitedHealthcare uhc apa facility · per diem · outpatient | $724.00 | $724.00 | $724.00 – $724.00 |
| 22 | Aetna aetna pho facility · percent of total billed charges · outpatientfrom % of charges | $1,317 | $1,590 | $392.00 – $2,572 |
Last updated: Apr 1, 2026
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