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
Platelets Leukocytes Reduced Ea
Festus, MO
See all hospitals reporting RC 390 →Price type
Mercy Hospital Jefferson’s median price of $218 is 45% below the median hospital's median price ($397), higher than 17% 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, 50 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 jefn cigna hmo facility · fee schedule · outpatient | $17.39 | $24.10 | $12.44 – $62.52 |
| 2 | Cigna hb jefn cigna ppo facility · fee schedule · outpatient | $17.39 | $24.10 | $12.44 – $62.52 |
| 3 | Blue Cross Blue Shield hb jefn anthem blue preferred eff 011520 facility · fee schedule · outpatient | $58.42 | $54.66 | $21.41 – $107.44 |
| 4 | Anthem hb jefn anthem blue access facility · fee schedule · outpatient | $60.96 | $57.04 | $22.34 – $112.12 |
| 5 | Anthem hb jefn anthem blue access choice facility · fee schedule · outpatient | $60.96 | $57.04 | $22.34 – $112.12 |
| 6 | Blue Cross Blue Shield hb jefn anthem blue access facility · fee schedule · outpatient | $60.96 | $57.04 | $22.34 – $112.12 |
| 7 | Blue Cross Blue Shield hb jefn anthem blue access choice facility · fee schedule · outpatient | $60.96 | $57.04 | $22.34 – $112.12 |
| 8 | Blue Cross Blue Shield hb jefn anthem pathway/exchange eff 011520 facility · fee schedule · outpatient | $60.96 | $57.04 | $22.34 – $112.12 |
| 9 | Molina hb wash jefn linc samc molina healthchoice of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $41.54 | $61.73 | $6.96 – $201.63 |
| 10 | Aetna hb wash jefn linc samc aetna better health of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $95.85 | $142.45 | $16.05 – $465.30 |
| 11 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $95.85 | $142.45 | $16.05 – $465.30 |
| 12 | Medicaid hb jefn mo medicaid facility · fee schedule · outpatient | $146.09 | $207.72 | $20.88 – $662.80 |
| 13 | Aetna hb jefn aetna/coventry mgd medicare facility · other · outpatient | $167.40 | $240.55 | $28.42 – $694.61 |
| 14 | Aetna hb jefn coventry medicare facility · other · outpatient | $167.40 | $240.55 | $28.42 – $694.61 |
| 15 | Blue Cross Blue Shield hb jefn medicare and 100% managed medicare facility · other · outpatient | $167.40 | $240.55 | $28.42 – $694.61 |
| 16 | Humana hb jefn humana medicare w/seq ip 97% op 100% new 010124 facility · other · outpatient | $167.40 | $240.55 | $28.42 – $694.61 |
| 17 | Humana hb jefn medicare and 100% managed medicare facility · other · outpatient | $167.40 | $240.55 | $28.42 – $694.61 |
| 18 | Medica hb jefn medicare and 100% managed medicare facility · other · outpatient | $167.40 | $240.55 | $28.42 – $694.61 |
| 19 | Medicare hb jefn medicare and 100% managed medicare facility · other · outpatient | $167.40 | $240.55 | $28.42 – $694.61 |
| 20 | UnitedHealthcare hb jefn medicare and 100% managed medicare facility · other · outpatient | $167.40 | $240.55 | $28.42 – $694.61 |
| 21 | WellCare hb jefn medicare and 100% managed medicare facility · other · outpatient | $167.40 | $240.55 | $28.42 – $694.61 |
| 22 | Cigna hb jefn cigna managed medicare 010122 103% w/seq 010123 102% w/seq facility · other · outpatient | $170.75 | $245.35 | $28.99 – $708.48 |
| 23 | Medica hb jefn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $166.78 | $247.87 | $27.93 – $809.62 |
| 24 | WellCare hb jefn wellcare harmony mcr 103% facility · other · outpatient | $172.52 | $247.90 | $29.29 – $715.85 |
| 25 | Devoted hb jefn devoted health medicare advantage 104% w/seq facility · other · outpatient | $174.09 | $250.16 | $29.56 – $722.36 |
Last updated: Jun 10, 2026
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