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*Irradiation of Blood Product
Vista, AR
See all hospitals reporting RC 390 →Price type
Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas’s median price of $212 is 47% below the median hospital's median price ($397), higher than 16% 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, 29 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 rogr arkansas medicaid facility · fee schedule · outpatient | $5.00 | $16.20 | $5.00 – $49.00 |
| 2 | Caresource hb rogr caresource medicaid facility · fee schedule · outpatient | $5.10 | $16.52 | $5.10 – $49.98 |
| 3 | Cigna hb rogr cigna facility · fee schedule · outpatient | $39.32 | $55.59 | $26.66 – $133.30 |
| 4 | Aetna hb rogr ok managed medicaid facility · fee schedule · outpatient | $71.17 | $136.78 | $9.37 – $483.98 |
| 5 | Humana hb rogr ok managed medicaid facility · fee schedule · outpatient | $71.17 | $136.78 | $9.37 – $483.98 |
| 6 | Medicaid hb rogr oklahoma medicaid facility · fee schedule · outpatient | $71.17 | $136.78 | $9.37 – $483.98 |
| 7 | Medicaid hb rogr mo medicaid facility · fee schedule · outpatient | $126.39 | $206.50 | $33.46 – $662.80 |
| 8 | Tricare hb rogr tricare facility · other · outpatient | $152.88 | $214.81 | $34.20 – $694.61 |
| 9 | Aetna hb rogr managed medicare facility · other · outpatient | $152.88 | $235.77 | $34.20 – $931.10 |
| 10 | Blue Cross Blue Shield hb rogr managed medicare facility · other · outpatient | $152.88 | $235.77 | $34.20 – $931.10 |
| 11 | Cigna hb rogr managed medicare facility · other · outpatient | $152.88 | $235.77 | $34.20 – $931.10 |
| 12 | First Health hb rogr managed medicare facility · other · outpatient | $152.88 | $235.77 | $34.20 – $931.10 |
| 13 | Humana hb rogr humana mcr facility · other · outpatient | $152.88 | $235.77 | $34.20 – $931.10 |
| 14 | Medica hb rogr managed medicare facility · other · outpatient | $152.88 | $235.77 | $34.20 – $931.10 |
| 15 | Medicare hb rogr medicare facility · other · outpatient | $152.88 | $235.77 | $34.20 – $931.10 |
| 16 | UnitedHealthcare hb rogr managed medicare facility · other · outpatient | $152.88 | $235.77 | $34.20 – $931.10 |
| 17 | UnitedHealthcare hb rogr uhc mcr 100% facility · other · outpatient | $152.88 | $235.77 | $34.20 – $931.10 |
| 18 | Blue Cross Blue Shield hb rogr bcbs exchange facility · fee schedule · outpatient | $145.76 | $239.18 | $35.00 – $853.91 |
| 19 | WellCare hb rogr novasys mgd mcr 103% facility · other · outpatient | $157.55 | $242.98 | $35.24 – $959.57 |
| 20 | Devoted hb rogr devoted health mcr facility · other · outpatient | $159.11 | $245.39 | $35.59 – $969.06 |
| 21 | Anthem hb rogr blue cross facility · fee schedule · outpatient | $163.25 | $267.88 | $39.20 – $956.38 |
| 22 | Blue Cross Blue Shield hb rogr blue cross facility · fee schedule · outpatient | $163.25 | $267.88 | $39.20 – $956.38 |
| 23 | UnitedHealthcare hb rogr uhc facility · per diem · outpatient | $287.00 | $287.00 | $287.00 – $287.00 |
| 24 | Ambetter hb rogr novasys ambetter exchange facility · other · outpatient | $218.18 | $306.56 | $48.80 – $991.28 |
| 25 | Cigna hb rogr cigna facility · percent of total billed charges · outpatientfrom % of charges | $295.36 | $457.94 | $91.52 – $1,409 |
Last updated: Jun 8, 2026
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