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 LEUKO REDUCED
BIG STONE GAP, VA
See all hospitals reporting RC 390 →Price type
Lonesome Pine Hospital’s median price of $343 is 14% below the median hospital's median price ($397), higher than 41% 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: 11 payers, 36 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 tenncare united healthcare percent of total billed charges · bothfrom % of charges | $103.50 | $103.50 | $103.50 – $103.50 |
| 2 | UnitedHealthcare tenncare united healthcare fee schedule · both | $99.37 | $145.30 | $36.38 – $401.10 |
| 3 | Blue Cross Blue Shield blue cross ballad health employee fee schedule · both | $110.25 | $156.85 | $20.34 – $338.86 |
| 4 | Blue Cross Blue Shield anthem hlthkeep mediciad fee schedule · both | $178.50 | $280.01 | $178.50 – $400.32 |
| 5 | UnitedHealthcare united healthcare medicaid virginia fee schedule · both | $178.50 | $281.49 | $178.50 – $400.32 |
| 6 | Aetna aetna better health of virginia fee schedule · both | $180.24 | $284.23 | $180.24 – $404.21 |
| 7 | Molina molina healthcare medicaid fee schedule · both | $181.97 | $286.95 | $181.97 – $408.09 |
| 8 | Aetna aetna healthcare medicare fee schedule · both | $249.95 | $303.28 | $53.17 – $949.13 |
| 9 | Humana humana medicare fee schedule · both | $249.95 | $303.28 | $53.17 – $949.13 |
| 10 | UnitedHealthcare united healthcare medicare fee schedule · both | $249.95 | $303.28 | $53.17 – $949.13 |
| 11 | Aetna aetna better health of virginia medicare fee schedule · both | $257.44 | $311.99 | $54.77 – $977.60 |
| 12 | Blue Cross Blue Shield anthem medicare virginia fee schedule · both | $257.44 | $311.99 | $54.77 – $977.60 |
| 13 | Blue Cross Blue Shield blue cross medicare fee schedule · both | $259.95 | $316.67 | $55.30 – $987.10 |
| 14 | Cigna cigna medicare fee schedule · both | $262.44 | $317.80 | $55.83 – $996.59 |
| 15 | Devoted devoted health plan medicare fee schedule · both | $262.44 | $317.80 | $55.83 – $996.59 |
| 16 | Molina molina healthcare medicare fee schedule · both | $262.44 | $317.80 | $55.83 – $996.59 |
| 17 | WellCare wellcare medicare fee schedule · both | $264.94 | $322.76 | $56.36 – $1,006 |
| 18 | Cigna cigna hmo percent of total billed charges · bothfrom % of charges | $300.66 | $401.43 | $86.32 – $1,643 |
| 19 | Cigna cigna open access plus percent of total billed charges · bothfrom % of charges | $300.66 | $401.43 | $86.32 – $1,643 |
| 20 | Cigna cigna ppo percent of total billed charges · bothfrom % of charges | $300.66 | $401.43 | $86.32 – $1,643 |
| 21 | Aetna aetna percent of total billed charges · bothfrom % of charges | $307.87 | $411.06 | $88.39 – $1,683 |
| 22 | Cigna cigna individual family plan percent of total billed charges · bothfrom % of charges | $334.54 | $446.67 | $96.05 – $1,829 |
| 23 | Medcost medcost vhn percent of total billed charges · bothfrom % of charges | $343.12 | $458.13 | $98.51 – $1,876 |
| 24 | Ambetter ambetter fee schedule · both | $544.88 | $663.79 | $115.91 – $2,069 |
| 25 | Blue Cross Blue Shield anthem exchange fee schedule · both | $659.34 | $731.79 | $167.38 – $1,912 |
Last updated: Mar 23, 2026
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