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
HC Platelets Pheresis Leukocytes Reduced Cmv Negative Irradiated Each Unit
Mishawaka, IN
See all hospitals reporting RC 390 →Price type
Mishawaka Medical Center’s median price of $570 is 44% above the median hospital's median price ($397), higher than 74% 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: 14 payers, 27 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 | Aetna medicaid facility · other · both | $86.96 | $136.60 | $40.15 – $395.10 |
| 2 | Blue Cross Blue Shield medicaid facility · other · both | $86.96 | $136.60 | $40.15 – $395.10 |
| 3 | Molina medicaid facility · other · both | $86.96 | $136.60 | $40.15 – $395.10 |
| 4 | UnitedHealthcare medicaid facility · other · both | $86.96 | $136.60 | $40.15 – $395.10 |
| 5 | Aetna aetna medicare advantage facility · other · both | $152.72 | $257.68 | $70.51 – $693.90 |
| 6 | Anthem anthem bcbs medicare advantage facility · other · both | $152.72 | $257.68 | $70.51 – $693.90 |
| 7 | Blue Cross Blue Shield anthem bcbs healthy medicare advantage facility · other · both | $152.72 | $257.68 | $70.51 – $693.90 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $155.78 | $262.84 | $71.92 – $707.78 |
| 9 | Anthem anthem bcbs medicaid hhw hcc facility · case rate · both | $278.73 | $278.73 | $278.73 – $278.73 |
| 10 | Anthem anthem bcbs medicaid hip facility · case rate · both | $278.73 | $278.73 | $278.73 – $278.73 |
| 11 | Caresource caresource medicaid facility · case rate · both | $278.73 | $278.73 | $278.73 – $278.73 |
| 12 | UnitedHealthcare united healthcare medicaid facility · case rate · both | $278.73 | $278.73 | $278.73 – $278.73 |
| 13 | Aetna aetna marketplace facility · other · both | $241.55 | $407.56 | $111.52 – $1,097 |
| 14 | Caresource caresource hmo marketplace facility · other · both | $241.55 | $407.56 | $111.52 – $1,097 |
| 15 | UnitedHealthcare united healthcare charter facility · percent of total billed charges · bothfrom % of charges | $328.21 | $574.02 | $29.81 – $2,465 |
| 16 | Anthem anthem bcbs facility · other · both | $569.76 | $976.83 | $263.07 – $2,589 |
| 17 | Blue Cross Blue Shield anthem bcbs facility · other · both | $569.76 | $976.83 | $263.07 – $2,589 |
| 18 | Carefirst anthem bcbs facility · other · both | $569.76 | $976.83 | $263.07 – $2,589 |
| 19 | Excellus anthem bcbs facility · other · both | $569.76 | $976.83 | $263.07 – $2,589 |
| 20 | Highmark anthem bcbs facility · other · both | $569.76 | $976.83 | $263.07 – $2,589 |
| 21 | Premera anthem bcbs facility · other · both | $569.76 | $976.83 | $263.07 – $2,589 |
| 22 | Regence anthem bcbs facility · other · both | $569.76 | $976.83 | $263.07 – $2,589 |
| 23 | Wellmark anthem bcbs facility · other · both | $569.76 | $976.83 | $263.07 – $2,589 |
| 24 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $563.43 | $1,077 | $0.01 – $4,846 |
| 25 | Cigna sagamore facility · percent of total billed charges · bothfrom % of charges | $566.08 | $1,082 | $0.01 – $4,868 |
Last updated: Mar 31, 2026
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