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 Plt Pheresis Leuk Reduced
TRAVELERS REST, SC
See all hospitals reporting RC 390 →Price type
Prisma Health North Greenville Ltach Hospital’s median price of $278 is 30% below the median hospital's median price ($397), higher than 30% 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: 15 payers, 39 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 | Caresource phu hb 100% of medicaid - ngltac per diem · both | $74.28 | $74.28 | $74.28 – $74.28 |
| 2 | Molina phu hb 103% of medicaid - ngltac per diem · both | $76.51 | $76.51 | $76.51 – $76.51 |
| 3 | Humana phu hb 107% of medicaid - ngltac per diem · both | $79.48 | $79.48 | $79.48 – $79.48 |
| 4 | UnitedHealthcare ph north carolina medicaid percent of total billed charges · bothfrom % of charges | $124.74 | $163.12 | $25.41 – $465.39 |
| 5 | WellCare ph north carolina medicaid percent of total billed charges · bothfrom % of charges | $124.74 | $163.12 | $25.41 – $465.39 |
| 6 | Blue Cross Blue Shield phu hb 100% of medicare - ngltac other · both | $265.19 | $325.08 | $71.95 – $708.06 |
| 7 | Cigna phu hb 100% of medicare - ngltac other · both | $265.19 | $325.08 | $71.95 – $708.06 |
| 8 | Devoted phu hb 100% of medicare - ngltac other · both | $265.19 | $325.08 | $71.95 – $708.06 |
| 9 | Blue Cross Blue Shield phu hb 102% of medicare - ngltac other · both | $270.49 | $331.59 | $73.39 – $722.22 |
| 10 | Humana phu hb humana medicare pffs - north greenville other · both | $270.49 | $331.59 | $73.39 – $722.22 |
| 11 | UnitedHealthcare phu hb uhc medicare - ngltac other · both | $274.47 | $336.46 | $74.47 – $732.84 |
| 12 | Humana phu hb 104% humana medicare - north greenville other · both | $275.80 | $338.09 | $74.83 – $736.38 |
| 13 | Aetna phu hb aetna ppo/hmo medicare - ngltac other · both | $278.45 | $341.34 | $75.55 – $743.46 |
| 14 | Aetna phu hb aetna prime hmo medicare - ngltac other · both | $278.45 | $341.34 | $75.55 – $743.46 |
| 15 | Cigna phu hb 105% of medicare - ngltac other · both | $278.45 | $341.34 | $75.55 – $743.46 |
| 16 | Molina phu hb 105% of medicare - ngltac other · both | $278.45 | $341.34 | $75.55 – $743.46 |
| 17 | WellCare phu hb 105% of medicare - ngltac other · both | $278.45 | $341.34 | $75.55 – $743.46 |
| 18 | WellCare phu hb absolute total care medicare ngltac other · both | $278.45 | $341.34 | $75.55 – $743.46 |
| 19 | Molina phu hb molina dual eligible ngltac other · both | $291.71 | $357.59 | $79.15 – $778.87 |
| 20 | Tricare phu hb tricare - ngltac other · both | $326.34 | $360.61 | $63.57 – $777.49 |
| 21 | Medicare phu hb medicare - north greenville ltach other · both | $317.00 | $362.06 | $71.95 – $708.06 |
| 22 | Caresource phu hb 100% of medicaid - ngltac fee schedule · both | $381.58 | $381.58 | $381.58 – $381.58 |
| 23 | Humana phu hb 107% of medicaid - ngltac fee schedule · both | $408.29 | $408.29 | $408.29 – $408.29 |
| 24 | Blue Cross Blue Shield phu hb upstate blue exchange reedy - ngltac fee schedule · both | $457.07 | $619.27 | $103.22 – $1,633 |
| 25 | Blue Cross Blue Shield phu hb upstate blue exchange reedy - ngltac percent of total billed charges · bothfrom % of charges | $662.85 | $662.85 | $662.85 – $662.85 |
Last updated: Mar 1, 2026
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