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
Fresh Froz Plasma Each Unit
Ada, OK
See all hospitals reporting RC 390 →Price type
Mercy Hospital Ada Inc’s median price of $302 is 24% below the median hospital's median price ($397), higher than 34% 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: 17 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 | UnitedHealthcare hb ada uhc facility · fee schedule · outpatient | $193.45 | $143.60 | $43.90 – $193.45 |
| 2 | UnitedHealthcare hb ada uhc exchange facility · fee schedule · outpatient | $193.45 | $143.60 | $43.90 – $193.45 |
| 3 | Aetna hb ada ok medicaid (soonercare) facility · fee schedule · outpatient | $95.62 | $164.28 | $9.37 – $483.98 |
| 4 | Humana hb ada ok medicaid (soonercare) facility · fee schedule · outpatient | $95.62 | $164.28 | $9.37 – $483.98 |
| 5 | Medicaid hb ada ok medicaid (soonercare) facility · fee schedule · outpatient | $95.62 | $164.28 | $9.37 – $483.98 |
| 6 | Anthem hb ada blue cross choice facility · fee schedule · outpatient | $174.06 | $235.05 | $38.16 – $708.06 |
| 7 | Blue Cross Blue Shield hb ada blue cross advantage ppo facility · fee schedule · outpatient | $174.06 | $237.62 | $38.16 – $708.06 |
| 8 | Blue Cross Blue Shield hb ada blue cross choice facility · fee schedule · outpatient | $174.06 | $237.62 | $38.16 – $708.06 |
| 9 | Blue Cross Blue Shield hb ada blue cross preferred facility · fee schedule · outpatient | $174.06 | $237.62 | $38.16 – $708.06 |
| 10 | Aetna hb ada medicare/mgd medicare 100% facility · other · outpatient | $168.71 | $240.72 | $36.99 – $729.05 |
| 11 | Blue Cross Blue Shield hb ada medicare/mgd medicare 100% facility · other · outpatient | $168.71 | $240.72 | $36.99 – $729.05 |
| 12 | First Health hb ada medicare/mgd medicare 100% facility · other · outpatient | $168.71 | $240.72 | $36.99 – $729.05 |
| 13 | Humana hb ada humana mcr advantage facility · other · outpatient | $168.71 | $240.72 | $36.99 – $729.05 |
| 14 | Medicare hb ada medicare/mgd medicare 100% facility · other · outpatient | $168.71 | $240.72 | $36.99 – $729.05 |
| 15 | Tricare hb ada medicare/mgd medicare 100% facility · other · outpatient | $168.71 | $240.72 | $36.99 – $729.05 |
| 16 | Tricare hb ada tricare facility · other · outpatient | $168.71 | $240.72 | $36.99 – $729.05 |
| 17 | UnitedHealthcare hb ada medicare/mgd medicare 100% facility · other · outpatient | $168.71 | $240.72 | $36.99 – $729.05 |
| 18 | WellCare hb ada medicare/mgd medicare 100% facility · other · outpatient | $168.71 | $240.72 | $36.99 – $729.05 |
| 19 | Medica hb ada medica medicare new 031523 facility · other · outpatient | $171.98 | $245.39 | $37.70 – $743.17 |
| 20 | Cigna hb ada cigna mcr 103% facility · other · outpatient | $173.87 | $248.09 | $38.12 – $751.34 |
| 21 | Devoted hb ada devoted health mcr 104% w/o seq facility · other · outpatient | $178.86 | $255.20 | $39.21 – $772.89 |
| 22 | Ambetter hb ada ambetter exchange medicare facility · other · outpatient | $232.17 | $331.27 | $50.90 – $1,003 |
| 23 | Healthcare Highways hb ada, ardm, oklc healthcare hwy chicksaw nation facility · percent of total billed charges · outpatientfrom % of charges | $352.56 | $551.05 | $46.02 – $3,156 |
| 24 | Medica hb ada medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $421.26 | $658.43 | $54.99 – $3,771 |
| 25 | UnitedHealthcare hb ada uhc exchange facility · percent of total billed charges · outpatientfrom % of charges | $536.13 | $750.14 | $54.28 – $3,722 |
Last updated: Jun 11, 2026
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