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 RBC Leuko Froz Degly Rare
SUMTER, SC
See all hospitals reporting RC 390 →Price type
Prisma Health Tuomey Hospital’s median price of $369 is 7% below the median hospital's median price ($397), higher than 45% 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, 32 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 | Molina phm hb molina medicaid - tuomey per diem · both | $102.01 | $102.01 | $102.01 – $102.01 |
| 2 | Humana phm hb humana medicaid - tuomey per diem · both | $105.97 | $105.97 | $105.97 – $105.97 |
| 3 | UnitedHealthcare ph north carolina medicaid percent of total billed charges · bothfrom % of charges | $124.74 | $163.12 | $25.41 – $465.39 |
| 4 | WellCare ph north carolina medicaid percent of total billed charges · bothfrom % of charges | $124.74 | $163.12 | $25.41 – $465.39 |
| 5 | Blue Cross Blue Shield phm hb 100% of medicare - tuomey other · both | $265.19 | $325.08 | $71.95 – $708.06 |
| 6 | Cigna phm hb 100% of medicare - tuomey other · both | $265.19 | $325.08 | $71.95 – $708.06 |
| 7 | Devoted phm hb 100% of medicare - tuomey other · both | $265.19 | $325.08 | $71.95 – $708.06 |
| 8 | Humana phm hb 100% of medicare - tuomey other · both | $265.19 | $325.08 | $71.95 – $708.06 |
| 9 | Medicare phm hb medicare - tuomey other · both | $265.19 | $325.08 | $71.95 – $708.06 |
| 10 | WellCare phm hb absolute total care medicare tuomey other · both | $273.15 | $334.84 | $74.11 – $729.30 |
| 11 | UnitedHealthcare phm hb uhc medicare - tuomey other · both | $274.47 | $336.46 | $74.47 – $732.84 |
| 12 | Aetna phm hb aetna ppo and prime hmo medicare - tuomey other · both | $278.45 | $341.34 | $75.55 – $743.46 |
| 13 | Cigna phm hb 105% of medicare - tuomey other · both | $278.45 | $341.34 | $75.55 – $743.46 |
| 14 | Molina phm hb 105% of medicare - tuomey other · both | $278.45 | $341.34 | $75.55 – $743.46 |
| 15 | WellCare phm hb 105% of medicare - tuomey other · both | $278.45 | $341.34 | $75.55 – $743.46 |
| 16 | Tricare phm hb tricare - tuomey other · both | $326.34 | $360.61 | $63.57 – $777.49 |
| 17 | Blue Cross Blue Shield phm hb blues exchange - tuomey fee schedule · both | $269.96 | $371.58 | $60.97 – $964.25 |
| 18 | Molina phm hb molina medicaid - tuomey fee schedule · both | $524.04 | $524.04 | $524.04 – $524.04 |
| 19 | Humana phm hb humana medicaid - tuomey fee schedule · both | $544.39 | $544.39 | $544.39 – $544.39 |
| 20 | Ambetter phm ambetter by atc - tuomey other · both | $487.95 | $598.16 | $132.39 – $1,303 |
| 21 | Aetna phm hb aetna sc preferred percent of total billed charges · bothfrom % of charges | $518.40 | $677.89 | $105.60 – $1,934 |
| 22 | Medcost ph hb medcost benefit services percent of total billed charges · bothfrom % of charges | $599.40 | $783.81 | $122.10 – $2,236 |
| 23 | Humana phm choicecare - midlands percent of total billed charges · bothfrom % of charges | $607.50 | $794.40 | $123.75 – $2,267 |
| 24 | Cigna phm hb cigna - tuomey percent of total billed charges · bothfrom % of charges | $621.27 | $812.41 | $126.56 – $2,318 |
| 25 | Aetna phm hb aetna commercial - tuomey percent of total billed charges · bothfrom % of charges | $639.90 | $836.77 | $130.35 – $2,387 |
Last updated: Mar 1, 2026
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