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
City, OK
See all hospitals reporting RC 390 →Price type
Mercy Hospital Oklahoma City Inc’s median price of $390 is 2% below the median hospital's median price ($397), higher than 49% 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, 41 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 oklc ark medicaid facility · fee schedule · outpatient | $11.00 | $21.00 | $5.00 – $49.00 |
| 2 | Cigna hb oklc cigna nbd facility · fee schedule · outpatient | $32.76 | $49.17 | $19.56 – $98.71 |
| 3 | Aetna hb oklc aetna preferred cox & nbd facility · fee schedule · outpatient | $23.57 | $51.10 | $14.40 – $136.10 |
| 4 | Cigna hb oklc cigna facility · fee schedule · outpatient | $35.22 | $52.87 | $21.03 – $106.14 |
| 5 | Aetna hb oklc aetna pos hmo gated facility · fee schedule · outpatient | $40.72 | $74.13 | $24.87 – $136.10 |
| 6 | Aetna hb oklc ok medicaid (soonercare) facility · fee schedule · outpatient | $93.35 | $152.52 | $9.37 – $483.98 |
| 7 | Humana hb oklc ok medicaid (soonercare) facility · fee schedule · outpatient | $93.35 | $152.52 | $9.37 – $483.98 |
| 8 | Medicaid hb oklc ok medicaid (soonercare) facility · fee schedule · outpatient | $93.35 | $152.52 | $9.37 – $483.98 |
| 9 | Anthem hb oklc blue choice facility · fee schedule · outpatient | $155.84 | $233.29 | $29.55 – $708.06 |
| 10 | Blue Cross Blue Shield hb oklc blue choice facility · fee schedule · outpatient | $155.84 | $233.29 | $29.55 – $708.06 |
| 11 | Blue Cross Blue Shield hb oklc blue cross advantage ppo facility · fee schedule · outpatient | $155.84 | $233.29 | $29.55 – $708.06 |
| 12 | Blue Cross Blue Shield hb oklc blue cross preferred facility · fee schedule · outpatient | $155.84 | $233.29 | $29.55 – $708.06 |
| 13 | Tricare hb oklc managed medicare facility · other · outpatient | $149.82 | $259.06 | $25.38 – $4,027 |
| 14 | Aetna hb oklc aetna mcr facility · other · outpatient | $149.82 | $294.62 | $26.74 – $4,027 |
| 15 | Aetna hb oklc managed medicare facility · other · outpatient | $149.82 | $294.62 | $26.74 – $4,027 |
| 16 | Blue Cross Blue Shield hb oklc managed medicare facility · other · outpatient | $149.82 | $294.62 | $26.74 – $4,027 |
| 17 | Humana hb oklc humana mcr facility · other · outpatient | $149.82 | $294.62 | $26.74 – $4,027 |
| 18 | Medicare hb oklc medicare facility · other · outpatient | $149.82 | $294.62 | $26.74 – $4,027 |
| 19 | UnitedHealthcare hb oklc uhc medicare advantage facility · other · outpatient | $149.82 | $294.62 | $26.74 – $4,027 |
| 20 | WellCare hb oklc managed medicare facility · other · outpatient | $149.82 | $294.62 | $26.74 – $4,027 |
| 21 | Medica hb oklc medica medicare eff 031523 facility · other · outpatient | $152.72 | $300.33 | $27.26 – $4,105 |
| 22 | Cigna hb oklc cigna mcr 103% facility · other · outpatient | $154.40 | $303.63 | $27.56 – $4,150 |
| 23 | Devoted hb oklc devoted health mcr 104% w/o seq facility · other · outpatient | $158.83 | $312.34 | $28.35 – $4,269 |
| 24 | WellCare hb oklc wellcare mcr 105% facility · other · outpatient | $160.36 | $315.35 | $28.62 – $4,310 |
| 25 | Ambetter hb oklc ambetter exchange medicare facility · other · outpatient | $206.18 | $405.45 | $36.80 – $5,542 |
Last updated: Jun 12, 2026
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