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
RBC FROZEN/DEGLY/WASHEDLEUKOIRR
Livingston, TX
See all hospitals reporting RC 390 →Price type
Memorial Hospital Of Polk County’s median price of $462 is 16% above the median hospital's median price ($397), higher than 61% 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: 8 payers, 17 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 | Cigna commercial|all plans fee schedule · outpatient | $100.00 | $100.00 | $100.00 – $100.00 |
| 2 | Aetna medicare|all plans case rate · outpatient | $223.22 | $292.06 | $63.67 – $676.75 |
| 3 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $223.22 | $292.06 | $63.67 – $676.75 |
| 4 | Cigna Healthspring medicare|all other plans case rate · outpatient | $223.22 | $292.06 | $63.67 – $676.75 |
| 5 | Humana medicare|all plans case rate · outpatient | $223.22 | $292.06 | $63.67 – $676.75 |
| 6 | UnitedHealthcare medicare|all plans case rate · outpatient | $223.22 | $292.06 | $63.67 – $676.75 |
| 7 | Cigna Healthspring medicare|ppo case rate · outpatient | $225.45 | $294.98 | $64.31 – $683.52 |
| 8 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $348.04 | $414.76 | $85.80 – $965.80 |
| 9 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $569.52 | $678.70 | $140.40 – $1,580 |
| 10 | Humana commercial|all plans fee schedule · inpatient | $759.36 | $904.93 | $187.20 – $2,107 |
| 11 | Humana commercial|all plans fee schedule · outpatient | $759.36 | $904.93 | $187.20 – $2,107 |
| 12 | Aetna commercial|all plans fee schedule · inpatient | $965.02 | $1,150 | $237.90 – $2,678 |
| 13 | Aetna commercial|all plans fee schedule · outpatient | $965.02 | $1,150 | $237.90 – $2,678 |
| 14 | Phcs commercial|all plans fee schedule · outpatient | $1,076 | $1,282 | $265.20 – $2,985 |
| 15 | MultiPlan commercial|all plans fee schedule · inpatient | $1,107 | $1,320 | $273.00 – $3,073 |
| 16 | MultiPlan commercial|all plans fee schedule · outpatient | $1,107 | $1,320 | $273.00 – $3,073 |
| 17 | Phcs commercial|all plans fee schedule · inpatient | $1,266 | $1,508 | $312.00 – $3,512 |
Last updated: Feb 28, 2026
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