RC 390

Blood processing and storage fees at Overlook Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Platelets Pher Pathogenred Unit

Summit, NJ

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Pricing by billing methodology

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How this price compares nationally

Overlook Medical Center’s median price of $649 is 63% above the median hospital's median price ($397), higher than 79% of the 1,885 hospitals reporting RC 390. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 390 at Overlook Medical Center

Negotiated rates from the hospital’s own file: 18 payers, 74 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	Anthem omc medicaid fee schedule · both	$8.00	$23.18	$8.00 – $75.00
2	Medicaid omc medicaid fee schedule · both	$8.00	$23.18	$8.00 – $75.00
3	Anthem omc medicaid fee schedule · outpatient	$45.50	$45.50	$16.00 – $75.00
4	Medicaid omc medicaid fee schedule · outpatient	$45.50	$45.50	$16.00 – $75.00
5	Aetna Better Health omc aetna better health fee schedule · both	$90.00	$90.00	$90.00 – $90.00
6	Aetna Better Health omc aetna better health fee schedule · outpatient	$90.00	$90.00	$90.00 – $90.00
7	Aetna omc aetna whole health fee schedule · both	$97.96	$97.96	$76.44 – $119.48
8	Blue Cross Blue Shield omc horizon omnia fee schedule · both	$121.81	$121.81	$100.98 – $142.64
9	Aetna omc aetna fee schedule · both	$125.59	$125.59	$98.00 – $153.18
10	Blue Cross Blue Shield omc horizon commercial fee schedule · both	$132.40	$132.40	$109.76 – $155.04
11	Medicaid omc medicaid percent of total billed charges · outpatientfrom % of charges	$134.38	$134.38	$119.75 – $149.00
12	Aetna omc aetna medicare fee schedule · outpatient	$218.90	$301.87	$63.57 – $675.66
13	Cigna omc cigna medicare fee schedule · outpatient	$218.90	$301.87	$63.57 – $675.66
14	Anthem omc medicaid percent of total billed charges · bothfrom % of charges	$190.53	$318.81	$58.31 – $1,037
15	Medicaid omc medicaid percent of total billed charges · bothfrom % of charges	$190.53	$318.81	$58.31 – $1,037
16	Aetna omc aetna ahs employee other · both	$255.80	$360.60	$63.57 – $947.87
17	Aetna omc aetna medicare fee schedule · both	$255.80	$360.60	$63.57 – $947.87
18	Aetna omc aetna nnj prime other · both	$255.80	$360.60	$63.57 – $947.87
19	Ambetter omc ambetter wellcare of nj other · both	$255.80	$360.60	$63.57 – $947.87
20	Anthem omc horizon braven other · both	$255.80	$360.60	$63.57 – $947.87
21	Blue Cross Blue Shield omc horizon braven other · both	$255.80	$360.60	$63.57 – $947.87
22	Cigna omc cigna medicare fee schedule · both	$255.80	$360.60	$63.57 – $947.87
23	Highmark omc highmark wholecare / gateway health plan inc other · both	$255.80	$360.60	$63.57 – $947.87
24	Highmark omc horizon braven other · both	$255.80	$360.60	$63.57 – $947.87
25	Tricare omc tricare contract other · both	$255.80	$360.60	$63.57 – $947.87

Page 1 of 3 · 74 rates

Last updated: Apr 1, 2026

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