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
E5033 Aph Plts ACDA LR BM 3
Traverse City, MI
See all hospitals reporting RC 390 →Price type
Munson Medical Center’s median price of $852 is 115% above the median hospital's median price ($397), higher than 91% 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, 19 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 | $202.05 | $37.63 – $496.39 |
| 2 | Molina managed medicaid facility · fee schedule · outpatient | $138.81 | $202.05 | $37.63 – $496.39 |
| 3 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $138.81 | $202.05 | $37.63 – $496.39 |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $265.41 | $386.32 | $71.95 – $949.13 |
| 5 | Humana medicare advantage facility · fee schedule · outpatient | $265.41 | $386.32 | $71.95 – $949.13 |
| 6 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $265.41 | $386.32 | $71.95 – $949.13 |
| 7 | Molina medicare advantage facility · fee schedule · outpatient | $286.64 | $417.23 | $77.71 – $1,025 |
| 8 | Blue Cross Blue Shield ppo/traditional/hmo/blue care network facility · fee schedule · outpatient | $535.67 | $749.99 | $133.12 – $1,415 |
| 9 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $873.66 | $1,053 | $178.43 – $2,082 |
| 10 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,285 | $1,549 | $262.40 – $3,062 |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,285 | $1,549 | $262.40 – $3,062 |
| 12 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,285 | $1,549 | $262.40 – $3,062 |
| 13 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,285 | $1,549 | $262.40 – $3,062 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,397 | $1,685 | $285.36 – $3,329 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,397 | $1,685 | $285.36 – $3,329 |
| 16 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,445 | $1,743 | $295.20 – $3,444 |
| 17 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,445 | $1,743 | $295.20 – $3,444 |
| 18 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,445 | $1,743 | $295.20 – $3,444 |
| 19 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,445 | $1,743 | $295.20 – $3,444 |
Last updated: Apr 17, 2026
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