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
LAB/LEUKODEPL CELLS
Beaver Dam, WI
See all hospitals reporting RC 390 →Price type
Marshfield Medical Center - Beaver Dam’s median price of $221 is 44% below the median hospital's median price ($397), higher than 17% 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: 6 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 | Anthem medicaid hmo facility · fee schedule · outpatient | $38.65 | $120.68 | $9.55 – $449.49 |
| 2 | Molina medicaid hmo facility · fee schedule · outpatient | $38.65 | $120.68 | $9.55 – $449.49 |
| 3 | Humana medicare advantage facility · fee schedule · outpatient | $138.99 | $214.04 | $18.19 – $644.04 |
| 4 | Molina medicare advantage facility · fee schedule · outpatient | $138.99 | $214.04 | $18.19 – $644.04 |
| 5 | Anthem medicare advantage facility · fee schedule · outpatient | $143.16 | $220.46 | $18.74 – $663.36 |
| 6 | Anthem hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $264.12 | $477.30 | $15.50 – $2,561 |
| 7 | Cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $289.68 | $523.49 | $17.00 – $2,809 |
| 8 | Anthem ppo facility · percent of total billed charges · outpatientfrom % of charges | $315.24 | $569.68 | $18.50 – $3,057 |
| 9 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $315.24 | $569.68 | $18.50 – $3,057 |
| 10 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $315.24 | $569.68 | $18.50 – $3,057 |
| 11 | Humana hmo facility · percent of total billed charges · inpatientfrom % of charges | $336.54 | $608.18 | $19.75 – $3,263 |
| 12 | Humana hmo facility · percent of total billed charges · outpatientfrom % of charges | $336.54 | $608.18 | $19.75 – $3,263 |
| 13 | First Health ppo network facility · percent of total billed charges · inpatientfrom % of charges | $362.10 | $654.37 | $21.25 – $3,511 |
| 14 | First Health ppo network facility · percent of total billed charges · outpatientfrom % of charges | $362.10 | $654.37 | $21.25 – $3,511 |
| 15 | Molina hmo facility · percent of total billed charges · inpatientfrom % of charges | $362.10 | $654.37 | $21.25 – $3,511 |
| 16 | Molina hmo facility · percent of total billed charges · outpatientfrom % of charges | $362.10 | $654.37 | $21.25 – $3,511 |
| 17 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $379.14 | $685.16 | $22.25 – $3,677 |
| 18 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $379.14 | $685.16 | $22.25 – $3,677 |
| 19 | MultiPlan ppo network facility · percent of total billed charges · inpatientfrom % of charges | $396.18 | $715.95 | $23.25 – $3,842 |
| 20 | MultiPlan ppo network facility · percent of total billed charges · outpatientfrom % of charges | $396.18 | $715.95 | $23.25 – $3,842 |
| 21 | MultiPlan workers comp facility · percent of total billed charges · inpatientfrom % of charges | $404.70 | $731.35 | $23.75 – $3,924 |
| 22 | MultiPlan workers comp facility · percent of total billed charges · outpatientfrom % of charges | $404.70 | $731.35 | $23.75 – $3,924 |
Last updated: Feb 20, 2026
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