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
C PLT PHERESIS LEUKORED IRRAD
Tacoma, WA
See all hospitals reporting RC 390 →Price type
Mary Bridge Children's Hospital’s median price of $587 is 48% above the median hospital's median price ($397), higher than 75% 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, 33 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 | Molina apple health fee schedule · outpatient | $105.11 | $133.67 | $6.79 – $264.16 |
| 2 | UnitedHealthcare apple health fee schedule · outpatient | $113.52 | $144.36 | $7.33 – $285.29 |
| 3 | Aetna medadvantage fee schedule · outpatient | $200.70 | $303.29 | $44.00 – $816.43 |
| 4 | Regence medadvantage fee schedule · outpatient | $200.70 | $303.29 | $44.00 – $816.43 |
| 5 | UnitedHealthcare medadvantage hmo fee schedule · outpatient | $202.65 | $306.23 | $44.43 – $824.36 |
| 6 | Molina medadvantage fee schedule · outpatient | $204.60 | $309.18 | $44.86 – $832.29 |
| 7 | WellCare medadvantage fee schedule · outpatient | $204.60 | $309.18 | $44.86 – $832.29 |
| 8 | Ambetter coordinated care exchange fee schedule · outpatient | $373.14 | $474.52 | $24.09 – $937.77 |
| 9 | Premera hmo fee schedule · outpatient | $354.46 | $500.42 | $63.62 – $1,552 |
| 10 | Premera signature fee schedule · outpatient | $693.40 | $987.45 | $146.53 – $2,764 |
| 11 | Premera prime fee schedule · outpatient | $709.00 | $1,010 | $149.83 – $2,826 |
| 12 | First Health all commercial plans percent of total billed charges · outpatientfrom % of charges | $760.77 | $1,197 | $64.78 – $3,154 |
| 13 | MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges | $770.40 | $1,212 | $65.60 – $3,194 |
| 14 | Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges | $783.89 | $1,233 | $66.75 – $3,250 |
| 15 | Premera other commercial plans fee schedule · outpatient | $871.38 | $1,241 | $184.15 – $3,473 |
| 16 | Regence blue high performance fee schedule · outpatient | $964.18 | $1,373 | $203.75 – $3,843 |
| 17 | Regence mcc/ahn fee schedule · outpatient | $964.18 | $1,373 | $203.75 – $3,843 |
| 18 | Regence realvalue fee schedule · outpatient | $991.73 | $1,412 | $209.57 – $3,953 |
| 19 | First Health all commercial plans percent of total billed charges · inpatientfrom % of charges | $950.77 | $1,496 | $81.37 – $3,943 |
| 20 | Cigna all commercial plans percent of total billed charges · inpatientfrom % of charges | $958.11 | $1,507 | $82.00 – $3,973 |
| 21 | MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges | $962.80 | $1,515 | $82.40 – $3,993 |
| 22 | Regence commercial fee schedule · outpatient | $1,102 | $1,569 | $232.85 – $4,392 |
| 23 | Premera hmo percent of total billed charges · outpatientfrom % of charges | $1,577 | $1,577 | $1,577 – $1,577 |
| 24 | Premera other commercial plans percent of total billed charges · outpatientfrom % of charges | $1,577 | $1,577 | $1,577 – $1,577 |
| 25 | Premera prime percent of total billed charges · outpatientfrom % of charges | $1,577 | $1,577 | $1,577 – $1,577 |
Last updated: Aug 27, 2026
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