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
Ozark, MO
See all hospitals reporting RC 390 →Price type
Mercy Hospital Springfield’s median price of $266 is 33% below the median hospital's median price ($397), higher than 27% 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, 45 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 sprg/jopl ark medicaid facility · fee schedule · outpatient | $5.00 | $16.20 | $5.00 – $49.00 |
| 2 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $40.40 | $34.82 | $12.58 – $63.14 |
| 3 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $25.50 | $42.25 | $17.50 – $129.47 |
| 4 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $60.39 | $52.04 | $18.80 – $94.38 |
| 5 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $60.39 | $52.04 | $18.80 – $94.38 |
| 6 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $65.69 | $68.64 | $7.93 – $396.55 |
| 7 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $65.69 | $68.64 | $7.93 – $396.55 |
| 8 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $83.02 | $143.25 | $9.37 – $483.98 |
| 9 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $83.02 | $143.25 | $9.37 – $483.98 |
| 10 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $83.02 | $143.25 | $9.37 – $483.98 |
| 11 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $110.16 | $147.29 | $53.55 – $398.31 |
| 12 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $112.94 | $151.01 | $54.91 – $408.37 |
| 13 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $127.20 | $198.85 | $20.88 – $575.99 |
| 14 | Humana hb sprg humana medicare 100% facility · other · outpatient | $152.88 | $223.20 | $28.42 – $667.68 |
| 15 | Aetna hb sprg medicare facility · other · outpatient | $152.88 | $229.76 | $28.42 – $667.68 |
| 16 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $152.88 | $229.76 | $28.42 – $667.68 |
| 17 | Cigna hb sprg medicare facility · other · outpatient | $152.88 | $229.76 | $28.42 – $667.68 |
| 18 | Medica hb sprg medicare facility · other · outpatient | $152.88 | $229.76 | $28.42 – $667.68 |
| 19 | Medicare hb sprg medicare facility · other · outpatient | $152.88 | $229.76 | $28.42 – $667.68 |
| 20 | Tricare hb sprg tricare facility · other · outpatient | $152.88 | $229.76 | $28.42 – $667.68 |
| 21 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $152.88 | $229.76 | $28.42 – $667.68 |
| 22 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $152.88 | $229.76 | $28.42 – $667.68 |
| 23 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $157.55 | $230.02 | $29.29 – $688.10 |
| 24 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $159.11 | $239.13 | $29.58 – $694.90 |
| 25 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $208.54 | $316.16 | $34.45 – $950.38 |
Last updated: Jun 4, 2026
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