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
E9470 Aph Dv Plts ACDA LR 3
Grayling, MI
See all hospitals reporting RC 390 →Price type
Munson Healthcare Grayling’s median price of $681 is 72% above the median hospital's median price ($397), higher than 82% 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: 8 payers, 16 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 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $138.81 | $171.33 | $37.63 – $496.39 |
| 2 | Molina managed medicaid facility · fee schedule · outpatient | $138.81 | $171.33 | $37.63 – $496.39 |
| 3 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $138.81 | $171.33 | $37.63 – $496.39 |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $265.41 | $327.58 | $71.95 – $949.13 |
| 5 | Humana medicare advantage facility · fee schedule · outpatient | $265.41 | $327.58 | $71.95 – $949.13 |
| 6 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $265.41 | $327.58 | $71.95 – $949.13 |
| 7 | WellCare medicare advantage facility · fee schedule · outpatient | $265.41 | $327.58 | $71.95 – $949.13 |
| 8 | Molina medicare advantage facility · fee schedule · outpatient | $286.64 | $353.79 | $77.71 – $1,025 |
| 9 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $689.41 | $893.71 | $171.33 – $1,821 |
| 10 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $791.17 | $977.05 | $187.36 – $2,190 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $886.80 | $1,095 | $210.00 – $2,455 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $886.80 | $1,095 | $210.00 – $2,455 |
| 13 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,120 | $1,384 | $265.30 – $3,102 |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,120 | $1,384 | $265.30 – $3,102 |
| 15 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,256 | $1,551 | $297.50 – $3,478 |
| 16 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,256 | $1,551 | $297.50 – $3,478 |
Last updated: Apr 17, 2026
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