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 Pathogen-Reduced Each Unit
Plymouth, IN
See all hospitals reporting RC 390 →Price type
Plymouth Medical Center’s median price of $706 is 78% above the median hospital's median price ($397), higher than 84% 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: 16 payers, 51 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 | $103.18 | $136.24 | $40.15 – $379.78 |
| 2 | Blue Cross Blue Shield medicaid facility · other · both | $103.18 | $136.24 | $40.15 – $379.78 |
| 3 | Molina medicaid facility · other · both | $103.18 | $136.24 | $40.15 – $379.78 |
| 4 | UnitedHealthcare medicaid facility · other · both | $103.18 | $136.24 | $40.15 – $379.78 |
| 5 | Aetna medicaid facility · other · outpatient | $241.59 | $241.59 | $241.59 – $241.59 |
| 6 | Blue Cross Blue Shield medicaid facility · other · outpatient | $241.59 | $241.59 | $241.59 – $241.59 |
| 7 | Molina medicaid facility · other · outpatient | $241.59 | $241.59 | $241.59 – $241.59 |
| 8 | UnitedHealthcare medicaid facility · other · outpatient | $241.59 | $241.59 | $241.59 – $241.59 |
| 9 | Aetna aetna medicare advantage facility · other · both | $212.81 | $274.87 | $70.51 – $667.00 |
| 10 | Anthem anthem bcbs medicare advantage facility · other · both | $212.81 | $274.87 | $70.51 – $667.00 |
| 11 | Blue Cross Blue Shield anthem bcbs healthy medicare advantage facility · other · both | $212.81 | $274.87 | $70.51 – $667.00 |
| 12 | Anthem anthem bcbs medicaid hhw hcc facility · case rate · both | $278.73 | $278.73 | $278.73 – $278.73 |
| 13 | Anthem anthem bcbs medicaid hip facility · case rate · both | $278.73 | $278.73 | $278.73 – $278.73 |
| 14 | Caresource caresource medicaid facility · case rate · both | $278.73 | $278.73 | $278.73 – $278.73 |
| 15 | UnitedHealthcare united healthcare medicaid facility · case rate · both | $278.73 | $278.73 | $278.73 – $278.73 |
| 16 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $217.07 | $280.37 | $71.92 – $680.34 |
| 17 | Anthem anthem bcbs medicaid hhw hcc facility · case rate · outpatient | $383.41 | $383.41 | $383.41 – $383.41 |
| 18 | Anthem anthem bcbs medicaid hip facility · case rate · outpatient | $383.41 | $383.41 | $383.41 – $383.41 |
| 19 | Caresource caresource medicaid facility · case rate · outpatient | $383.41 | $383.41 | $383.41 – $383.41 |
| 20 | UnitedHealthcare united healthcare medicaid facility · case rate · outpatient | $383.41 | $383.41 | $383.41 – $383.41 |
| 21 | Aetna aetna marketplace facility · other · both | $336.59 | $434.75 | $111.52 – $1,055 |
| 22 | Caresource caresource hmo marketplace facility · other · both | $336.59 | $434.75 | $111.52 – $1,055 |
| 23 | UnitedHealthcare united healthcare charter facility · percent of total billed charges · bothfrom % of charges | $560.68 | $532.20 | $29.81 – $966.82 |
| 24 | Aetna aetna medicare advantage facility · other · outpatient | $595.28 | $595.28 | $595.28 – $595.28 |
| 25 | Anthem anthem bcbs medicare advantage facility · other · outpatient | $595.28 | $595.28 | $595.28 – $595.28 |
Last updated: Mar 31, 2026
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