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
Dir Packed Cells Divided
Ardmore, OK
See all hospitals reporting RC 390 →Price type
Mercy Hospital Ardmore Inc’s median price of $401 is about the same as the median hospital's median price ($397), higher than 51% 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: 16 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 | Cigna hb ardm cigna facility · fee schedule · outpatient | $35.22 | $52.87 | $21.03 – $106.14 |
| 2 | Aetna hb ardm ok medicaid (soonercare) facility · fee schedule · outpatient | $93.35 | $152.39 | $9.37 – $483.98 |
| 3 | Humana hb ardm ok medicaid (soonercare) facility · fee schedule · outpatient | $93.35 | $152.39 | $9.37 – $483.98 |
| 4 | Medicaid hb ardm ok medicaid (soonercare) facility · fee schedule · outpatient | $93.35 | $152.39 | $9.37 – $483.98 |
| 5 | Anthem hb ardm blue choice facility · fee schedule · outpatient | $155.84 | $230.41 | $29.55 – $708.06 |
| 6 | Blue Cross Blue Shield hb ardm blue choice facility · fee schedule · outpatient | $155.84 | $230.41 | $29.55 – $708.06 |
| 7 | Blue Cross Blue Shield hb ardm blue cross advantage ppo facility · fee schedule · outpatient | $155.84 | $230.41 | $29.55 – $708.06 |
| 8 | Blue Cross Blue Shield hb ardm blue cross preferred facility · fee schedule · outpatient | $155.84 | $230.41 | $29.55 – $708.06 |
| 9 | Aetna hb ardm medicare/mgd medicare 100% facility · other · outpatient | $163.73 | $262.48 | $29.23 – $997.20 |
| 10 | Blue Cross Blue Shield hb ardm medicare/mgd medicare 100% facility · other · outpatient | $163.73 | $262.48 | $29.23 – $997.20 |
| 11 | First Health hb ardm medicare/mgd medicare 100% facility · other · outpatient | $163.73 | $262.48 | $29.23 – $997.20 |
| 12 | Humana hb ardm humana 100% mcr facility · other · outpatient | $163.73 | $262.48 | $29.23 – $997.20 |
| 13 | Medicare hb ardm medicare/mgd medicare 100% facility · other · outpatient | $163.73 | $262.48 | $29.23 – $997.20 |
| 14 | Tricare hb ardm medicare/mgd medicare 100% facility · other · outpatient | $163.73 | $262.48 | $29.23 – $997.20 |
| 15 | UnitedHealthcare hb ardm uhc mcr advantage 100% facility · other · outpatient | $163.73 | $262.48 | $29.23 – $997.20 |
| 16 | WellCare hb ardm medicare/mgd medicare 100% facility · other · outpatient | $163.73 | $262.48 | $29.23 – $997.20 |
| 17 | Medica hb ardm medica medicare new 031523 facility · other · outpatient | $166.90 | $267.56 | $29.79 – $1,017 |
| 18 | Cigna hb ardm cigna mcr 103% facility · other · outpatient | $168.74 | $270.51 | $30.12 – $1,028 |
| 19 | Devoted hb ardm devoted health mcr 104% w/o seq facility · other · outpatient | $173.58 | $278.27 | $30.98 – $1,057 |
| 20 | Ambetter hb ardm ambetter exchange medicare facility · other · outpatient | $225.32 | $361.21 | $40.22 – $1,372 |
| 21 | Medica hb ardm medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $488.90 | $614.16 | $45.19 – $3,564 |
| 22 | UnitedHealthcare hb ardm uhc exchange facility · percent of total billed charges · outpatientfrom % of charges | $494.01 | $620.57 | $45.67 – $3,601 |
| 23 | Healthcare Highways hb ada, ardm, oklc healthcare hwy chicksaw nation facility · percent of total billed charges · outpatientfrom % of charges | $497.84 | $625.38 | $46.02 – $3,629 |
| 24 | Aetna hb ardm aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $550.18 | $691.13 | $50.86 – $4,011 |
| 25 | UnitedHealthcare hb ardm uhc facility · percent of total billed charges · outpatientfrom % of charges | $759.52 | $954.11 | $70.21 – $5,537 |
Last updated: Jun 12, 2026
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