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
S-H 1 DONOR FFP
Longview, TX
See all hospitals reporting RC 390 →Price type
Longview Medical Center LP’s median price of $223 is 44% below the median hospital's median price ($397), higher than 18% 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: 10 payers, 37 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 node uhc chip medicaid tx facility · fee schedule · outpatient | $15.59 | $28.06 | $13.00 – $55.60 |
| 2 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $15.59 | $28.06 | $13.00 – $55.60 |
| 3 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $32.74 | $58.93 | $27.30 – $116.76 |
| 4 | Medicaid node tx medicaid facility · fee schedule · outpatient | $44.14 | $59.25 | $11.21 – $147.90 |
| 5 | Molina node molina chip medicaid tx facility · per diem · outpatient | $46.34 | $62.21 | $11.77 – $155.30 |
| 6 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $46.34 | $62.21 | $11.77 – $155.30 |
| 7 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $36.32 | $65.39 | $30.29 – $129.55 |
| 8 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $97.32 | $130.64 | $24.72 – $326.13 |
| 9 | Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient | $163.12 | $218.98 | $41.43 – $546.66 |
| 10 | Humana node humana mcr adv facility · fee schedule · outpatient | $221.56 | $288.96 | $70.80 – $669.72 |
| 11 | Humana node wellmed humana mcr adv facility · fee schedule · outpatient | $221.56 | $288.96 | $70.80 – $669.72 |
| 12 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $221.56 | $288.96 | $70.80 – $669.72 |
| 13 | UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient | $221.56 | $288.96 | $70.80 – $669.72 |
| 14 | Tricare node tricare facility · fee schedule · outpatient | $225.16 | $293.66 | $71.95 – $680.61 |
| 15 | Aetna node aetna mcr adv facility · other · outpatient | $225.99 | $294.74 | $72.22 – $683.11 |
| 16 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $225.99 | $294.74 | $72.22 – $683.11 |
| 17 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $225.99 | $294.74 | $72.22 – $683.11 |
| 18 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $298.53 | $400.74 | $75.84 – $1,000 |
| 19 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $298.53 | $400.74 | $75.84 – $1,000 |
| 20 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $343.28 | $460.81 | $87.21 – $1,150 |
| 21 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $392.32 | $526.64 | $99.67 – $1,315 |
| 22 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $392.32 | $526.64 | $99.67 – $1,315 |
| 23 | Cigna cigna all facility · other · outpatient | $610.54 | $541.49 | $155.11 – $893.00 |
| 24 | UnitedHealthcare uhc exchange facility · per diem · outpatient | $427.81 | $557.95 | $136.71 – $1,293 |
| 25 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $464.65 | $623.74 | $118.04 – $1,557 |
Last updated: Apr 1, 2026
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