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 PLT PHERESIS LR EA UNIT
Sparta, WI
See all hospitals reporting RC 390 →Price type
Mayo Clinic Health System’s median price of $284 is 28% below the median hospital's median price ($397), higher than 32% 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: 15 payers, 34 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 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $113.15 | $104.25 | $16.85 – $183.46 |
| 2 | Ucare mc xr medicare ucare cah [1182] facility · percent of total billed charges · bothfrom % of charges | $113.15 | $104.25 | $16.85 – $183.46 |
| 3 | Medica medica advantage sol medicare advantage plan cah [522] facility · percent of total billed charges · bothfrom % of charges | $128.88 | $118.74 | $19.19 – $208.95 |
| 4 | Blue Cross Blue Shield anthem medicare advantage plan cah [1228] facility · percent of total billed charges · bothfrom % of charges | $131.38 | $121.04 | $19.56 – $213.00 |
| 5 | Ucare ucare medicare advantage plan cah [383] facility · percent of total billed charges · bothfrom % of charges | $131.38 | $121.04 | $19.56 – $213.00 |
| 6 | UnitedHealthcare united healthcare medicare advantage plan cah [413] facility · percent of total billed charges · bothfrom % of charges | $131.38 | $121.04 | $19.56 – $213.00 |
| 7 | Medica medica medicaid [1245] facility · percent of total billed charges · bothfrom % of charges | $274.18 | $252.60 | $40.82 – $444.53 |
| 8 | Medica medica msho msc+ cah [673] facility · percent of total billed charges · bothfrom % of charges | $274.18 | $252.60 | $40.82 – $444.53 |
| 9 | Medica swwi medica engage ifb [1298] facility · percent of total billed charges · bothfrom % of charges | $353.60 | $325.78 | $52.65 – $573.30 |
| 10 | Medica deanhp by medica west mc hmo 72 pct [1264] facility · percent of total billed charges · bothfrom % of charges | $391.68 | $360.86 | $58.32 – $635.04 |
| 11 | Medica swwi medica non mayo employees group [758] facility · percent of total billed charges · bothfrom % of charges | $435.20 | $400.96 | $64.80 – $705.60 |
| 12 | Blue Cross Blue Shield anthem hmo [680] facility · percent of total billed charges · bothfrom % of charges | $462.40 | $426.02 | $68.85 – $749.70 |
| 13 | Medica medica complete health full [97] facility · percent of total billed charges · bothfrom % of charges | $462.40 | $426.02 | $68.85 – $749.70 |
| 14 | Ucare & swwi ucare ifp [1109] facility · percent of total billed charges · bothfrom % of charges | $478.72 | $441.06 | $71.28 – $776.16 |
| 15 | Medica medica completehealth self [96] facility · percent of total billed charges · bothfrom % of charges | $489.60 | $451.08 | $72.90 – $793.80 |
| 16 | UnitedHealthcare swwi uhc [90] facility · percent of total billed charges · bothfrom % of charges | $500.48 | $461.10 | $74.52 – $811.44 |
| 17 | Medica united behavioral health [391] facility · percent of total billed charges · bothfrom % of charges | $505.92 | $466.12 | $75.33 – $820.26 |
| 18 | Optum united behavioral health [391] facility · percent of total billed charges · bothfrom % of charges | $505.92 | $466.12 | $75.33 – $820.26 |
| 19 | Medica & swwi medica choice [86] facility · percent of total billed charges · bothfrom % of charges | $511.36 | $471.13 | $76.14 – $829.08 |
| 20 | Anthem anthem ppo [854] facility · percent of total billed charges · bothfrom % of charges | $516.80 | $476.14 | $76.95 – $837.90 |
| 21 | Blue Cross Blue Shield anthem ppo [854] facility · percent of total billed charges · bothfrom % of charges | $516.80 | $476.14 | $76.95 – $837.90 |
| 22 | Cigna cigna [286] facility · percent of total billed charges · bothfrom % of charges | $516.80 | $476.14 | $76.95 – $837.90 |
| 23 | Humana cigna [286] facility · percent of total billed charges · bothfrom % of charges | $516.80 | $476.14 | $76.95 – $837.90 |
| 24 | Medcost cigna [286] facility · percent of total billed charges · bothfrom % of charges | $516.80 | $476.14 | $76.95 – $837.90 |
| 25 | Medical Mutual cigna [286] facility · percent of total billed charges · bothfrom % of charges | $516.80 | $476.14 | $76.95 – $837.90 |
Last updated: Aug 14, 2026
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