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 LEUKOCYTE POOR RBC
Philadelphia, PA
See all hospitals reporting RC 390 →Price type
Pennsylvania Hospital of the University of Pennsylvania Health System’s median price of $434 is 9% above the median hospital's median price ($397), higher than 56% 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, 43 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 | Bcbs Nj horizon blue cross of nj- hmo pos and direct access facility · fee schedule · outpatient | $26.92 | $27.30 | $21.23 – $33.74 |
| 2 | Bcbs Nj horizon blue cross of nj-indemnity facility · fee schedule · outpatient | $26.92 | $27.30 | $21.23 – $33.74 |
| 3 | Bcbs Nj horizon blue cross of nj-ppo facility · fee schedule · outpatient | $26.92 | $27.30 | $21.23 – $33.74 |
| 4 | Aetna aetna commercial hmo with capitation facility · case rate · outpatient | $53.34 | $53.34 | $47.06 – $59.61 |
| 5 | Cigna cigna new business facility · fee schedule · outpatient | $58.85 | $58.91 | $45.59 – $72.34 |
| 6 | Aetna aetna hmo facility · case rate · outpatient | $60.11 | $60.11 | $53.04 – $67.18 |
| 7 | Aetna aetna ppo facility · fee schedule · outpatient | $67.18 | $68.13 | $53.04 – $84.16 |
| 8 | Tricare tricare facility · fee schedule · outpatient | $179.07 | $221.83 | $39.26 – $680.61 |
| 9 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $178.20 | $222.93 | $53.17 – $680.61 |
| 10 | Medicare medicare facility · fee schedule · outpatient | $178.20 | $222.93 | $53.17 – $680.61 |
| 11 | Highmark highmark medicare advantage facility · other · outpatient | $181.76 | $227.39 | $54.23 – $694.22 |
| 12 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $183.55 | $229.62 | $54.77 – $701.03 |
| 13 | Humana humana medicare facility · other · outpatient | $183.55 | $229.62 | $54.77 – $701.03 |
| 14 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $188.89 | $236.31 | $56.36 – $721.45 |
| 15 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $188.89 | $236.31 | $56.36 – $721.45 |
| 16 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $191.46 | $236.95 | $59.10 – $811.94 |
| 17 | Clover clover health plan facility · other · outpatient | $192.46 | $240.77 | $57.42 – $735.06 |
| 18 | UnitedHealthcare unitedhealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $274.16 | $306.69 | $41.80 – $752.39 |
| 19 | Oscar oscar health plan facility · other · outpatient | $302.94 | $378.99 | $90.39 – $1,157 |
| 20 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · fee schedule · outpatient | $284.00 | $400.03 | $12.56 – $1,400 |
| 21 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $371.96 | $401.19 | $47.06 – $1,021 |
| 22 | Blue Cross Blue Shield personal choice-ibc ppo facility · fee schedule · outpatient | $284.00 | $403.29 | $27.73 – $1,400 |
| 23 | Blue Cross Blue Shield ibc traditional facility · fee schedule · outpatient | $286.76 | $430.11 | $110.00 – $1,400 |
| 24 | Bcbs Nj horizon blue cross of nj- hmo pos and direct access facility · percent of total billed charges · outpatientfrom % of charges | $405.54 | $455.83 | $55.08 – $991.44 |
| 25 | Highmark highmark facility · other · outpatient | $374.74 | $468.80 | $111.81 – $1,431 |
Last updated: Mar 20, 2026
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