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
Lebanon, MO
See all hospitals reporting RC 390 →Price type
Mercy Hospital Lebanon dba Mercy Hospital Lebanon’s median price of $343 is 14% below the median hospital's median price ($397), higher than 41% 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, 38 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 | Devoted hb lebn devoted health medicare advantage 104% w/seq facility · other · outpatient | $71.35 | $107.87 | $12.66 – $414.84 |
| 2 | Medicaid hb lebn ok medicaid facility · fee schedule · outpatient | $93.35 | $151.49 | $9.37 – $483.98 |
| 3 | Medicaid hb lebn mo medicaid facility · fee schedule · outpatient | $136.65 | $205.95 | $20.88 – $662.80 |
| 4 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $165.04 | $249.52 | $29.29 – $959.57 |
| 5 | Aetna hb lebn medicare facility · other · outpatient | $171.51 | $259.30 | $30.44 – $997.20 |
| 6 | Blue Cross Blue Shield hb lebn medicare facility · other · outpatient | $171.51 | $259.30 | $30.44 – $997.20 |
| 7 | Cigna hb lebn medicare facility · other · outpatient | $171.51 | $259.30 | $30.44 – $997.20 |
| 8 | Humana hb lebn humana mcr new 1.1.24 facility · other · outpatient | $171.51 | $259.30 | $30.44 – $997.20 |
| 9 | Medica hb lebn medicare facility · other · outpatient | $171.51 | $259.30 | $30.44 – $997.20 |
| 10 | Medicare hb lebn medicare facility · other · outpatient | $171.51 | $259.30 | $30.44 – $997.20 |
| 11 | Tricare hb lebn tricare facility · other · outpatient | $171.51 | $259.30 | $30.44 – $997.20 |
| 12 | UnitedHealthcare hb lebn medicare facility · other · outpatient | $171.51 | $259.30 | $30.44 – $997.20 |
| 13 | Blue Cross Blue Shield hb lebn anthem traditional facility · fee schedule · outpatient | $353.64 | $307.48 | $110.12 – $552.68 |
| 14 | UnitedHealthcare hb lebn uhc mo medicaid facility · fee schedule · outpatient | $204.97 | $308.93 | $31.32 – $994.20 |
| 15 | Blue Cross Blue Shield hb lebn mo care health plan/healthy blue facility · fee schedule · outpatient | $206.34 | $310.99 | $31.53 – $1,001 |
| 16 | Ambetter hb lebn ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $178.80 | $320.96 | $50.10 – $1,352 |
| 17 | Blue Cross Blue Shield hb lebn anthem blue preferred facility · fee schedule · outpatient | $382.27 | $332.37 | $119.04 – $597.42 |
| 18 | Blue Cross Blue Shield hb lebn anthem pathways exchange facility · fee schedule · outpatient | $389.70 | $338.83 | $121.35 – $609.02 |
| 19 | Anthem hb lebn anthem alliance facility · fee schedule · outpatient | $399.76 | $343.08 | $117.99 – $585.41 |
| 20 | Blue Cross Blue Shield hb lebn anthem alliance facility · fee schedule · outpatient | $399.76 | $343.08 | $117.99 – $585.41 |
| 21 | Anthem hb lebn anthem blue access/access choice facility · fee schedule · outpatient | $432.11 | $375.71 | $134.56 – $675.31 |
| 22 | Blue Cross Blue Shield hb lebn anthem blue access/access choice facility · fee schedule · outpatient | $432.11 | $375.71 | $134.56 – $675.31 |
| 23 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $235.42 | $422.60 | $65.97 – $1,781 |
| 24 | Cigna hb lebn cigna facility · percent of total billed charges · outpatientfrom % of charges | $441.04 | $791.70 | $123.58 – $3,336 |
| 25 | Aetna hb lebn aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $447.00 | $802.40 | $125.25 – $3,381 |
Last updated: Jun 10, 2026
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