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
Chg*Split Bld/Bld Products Each Unit
Smith, AR
See all hospitals reporting RC 390 →Price type
Mercy Hospital Fort Smith’s median price of $196 is 51% below the median hospital's median price ($397), higher than 13% 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, 30 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 | Medicaid hb ftsm ark medicaid facility · fee schedule · outpatient | $5.00 | $16.20 | $5.00 – $49.00 |
| 2 | Caresource hb ftsm caresource medicaid facility · fee schedule · outpatient | $5.10 | $16.52 | $5.10 – $49.98 |
| 3 | Cigna hb ftsm cigna facility · fee schedule · outpatient | $39.32 | $55.59 | $26.66 – $133.30 |
| 4 | Aetna hb ftsm ok managed medicaid facility · fee schedule · outpatient | $93.35 | $131.33 | $9.37 – $483.98 |
| 5 | Humana hb ftsm ok managed medicaid facility · fee schedule · outpatient | $93.35 | $131.33 | $9.37 – $483.98 |
| 6 | Medicaid hb ftsm ok medicaid facility · fee schedule · outpatient | $93.35 | $131.33 | $9.37 – $483.98 |
| 7 | Medicaid hb ftsm mo medicaid facility · fee schedule · outpatient | $127.20 | $200.18 | $33.46 – $662.80 |
| 8 | Tricare hb ftsm tricare facility · other · outpatient | $152.88 | $215.62 | $35.49 – $694.61 |
| 9 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient | $155.13 | $231.29 | $35.00 – $853.91 |
| 10 | Aetna hb ftsm managed medicare facility · other · outpatient | $152.88 | $231.45 | $35.49 – $931.10 |
| 11 | Blue Cross Blue Shield hb ftsm managed medicare facility · other · outpatient | $152.88 | $231.45 | $35.49 – $931.10 |
| 12 | First Health hb ftsm managed medicare facility · other · outpatient | $152.88 | $231.45 | $35.49 – $931.10 |
| 13 | Humana hb ftsm humana mcr facility · other · outpatient | $152.88 | $231.45 | $35.49 – $931.10 |
| 14 | Medica hb ftsm managed medicare facility · other · outpatient | $152.88 | $231.45 | $35.49 – $931.10 |
| 15 | Medicare hb ftsm medicare facility · other · outpatient | $152.88 | $231.45 | $35.49 – $931.10 |
| 16 | UnitedHealthcare hb ftsm managed medicare facility · other · outpatient | $152.88 | $231.45 | $35.49 – $931.10 |
| 17 | UnitedHealthcare hb ftsm uhc mcr 100% facility · other · outpatient | $152.88 | $231.45 | $35.49 – $931.10 |
| 18 | WellCare hb ftsm novasys mcr 103% facility · other · outpatient | $157.55 | $238.52 | $36.58 – $959.57 |
| 19 | Devoted hb ftsm devoted health mcr facility · other · outpatient | $159.11 | $240.88 | $36.94 – $969.06 |
| 20 | Cigna hb ftsm healthspring cigna mcr 105% facility · other · outpatient | $160.67 | $243.24 | $37.30 – $978.55 |
| 21 | Anthem hb ftsm blue cross facility · fee schedule · outpatient | $173.75 | $259.04 | $39.20 – $956.38 |
| 22 | Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient | $173.75 | $259.04 | $39.20 – $956.38 |
| 23 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · per diem · outpatient | $298.00 | $298.00 | $298.00 – $298.00 |
| 24 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · per diem · outpatient | $298.00 | $298.00 | $298.00 – $298.00 |
| 25 | Ambetter hb ftsm novasys ambetter exchange facility · other · outpatient | $218.18 | $307.72 | $50.65 – $991.28 |
Last updated: Jun 8, 2026
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