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
Liquid Plasma CPDA-1
Kansas City, MO
See all hospitals reporting RC 390 →Price type
Lakewood Medical Center’s median price of $403 is 2% above the median hospital's median price ($397), higher than 51% 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, 25 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 hmo facility · percent of total billed charges · outpatientfrom % of charges | $120.00 | $120.00 | $120.00 – $120.00 |
| 2 | Aetna aetna ppo/exchange facility · percent of total billed charges · outpatientfrom % of charges | $120.00 | $120.00 | $120.00 – $120.00 |
| 3 | Blue Cross Blue Shield bcbs blue metro aca facility · fee schedule · outpatient | $210.05 | $256.10 | $76.89 – $730.37 |
| 4 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $264.11 | $277.47 | $71.60 – $677.28 |
| 5 | Humana humana medicare advantage facility · fee schedule · outpatient | $264.11 | $277.47 | $71.60 – $677.28 |
| 6 | Medicare medicare facility · fee schedule · outpatient | $264.11 | $277.47 | $71.60 – $677.28 |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $264.11 | $277.47 | $71.60 – $677.28 |
| 8 | Ambetter ambetter exchange facility · fee schedule · outpatient | $301.09 | $316.32 | $81.62 – $772.10 |
| 9 | Oscar oscar exchange facility · fee schedule · outpatient | $305.22 | $320.66 | $82.74 – $782.70 |
| 10 | Aetna aetna hmo facility · fee schedule · outpatient | $360.27 | $438.87 | $11.52 – $1,255 |
| 11 | Aetna aetna ppo/exchange facility · fee schedule · outpatient | $360.27 | $438.87 | $11.52 – $1,255 |
| 12 | Cigna cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $493.31 | $519.63 | $85.54 – $1,191 |
| 13 | UnitedHealthcare uhc medicaid facility · fee schedule · outpatient | $488.45 | $521.84 | $121.39 – $1,290 |
| 14 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $535.09 | $563.64 | $92.78 – $1,292 |
| 15 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $535.09 | $563.64 | $92.78 – $1,292 |
| 16 | Blue Cross Blue Shield bcbs blue select exchange facility · percent of total billed charges · outpatientfrom % of charges | $627.45 | $660.93 | $108.80 – $1,515 |
| 17 | Blue Cross Blue Shield bcbs preferred care blue facility · percent of total billed charges · outpatientfrom % of charges | $658.97 | $694.13 | $114.26 – $1,591 |
| 18 | Blue Cross Blue Shield bcbs preferred care facility · percent of total billed charges · inpatientfrom % of charges | $671.43 | $707.26 | $116.42 – $1,621 |
| 19 | Blue Cross Blue Shield bcbs blue select plus facility · percent of total billed charges · outpatientfrom % of charges | $675.09 | $711.12 | $117.06 – $1,630 |
| 20 | Blue Cross Blue Shield bcbs blue care facility · percent of total billed charges · outpatientfrom % of charges | $691.95 | $728.88 | $119.98 – $1,671 |
| 21 | Blue Cross Blue Shield bcbs preferred care facility · percent of total billed charges · outpatientfrom % of charges | $704.41 | $742.00 | $122.14 – $1,701 |
| 22 | Blue Cross Blue Shield bcbs freedom network facility · percent of total billed charges · inpatientfrom % of charges | $733.00 | $772.12 | $127.10 – $1,770 |
| 23 | Blue Cross Blue Shield bcbs freedom network facility · percent of total billed charges · outpatientfrom % of charges | $733.00 | $772.12 | $127.10 – $1,770 |
| 24 | Blue Cross Blue Shield bcbs freedom network select facility · percent of total billed charges · outpatientfrom % of charges | $733.00 | $772.12 | $127.10 – $1,770 |
| 25 | Blue Cross Blue Shield bcbs blue metro aca facility · percent of total billed charges · outpatientfrom % of charges | $1,496 | $1,325 | $128.40 – $1,496 |
Last updated: Aug 5, 2026
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