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
Fresh Frozen Plasma per Unit
Peoria, IL
See all hospitals reporting RC 390 →Price type
Proctor Community Hospital’s median price of $190 is 52% below the median hospital's median price ($397), higher than 12% 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: 9 payers, 28 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 medicare-medicaid (mmai/dual) percent of total billed charges · outpatientfrom % of charges | $58.50 | $58.50 | $58.50 – $58.50 |
| 2 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $97.50 | $97.50 | $97.50 – $97.50 |
| 3 | Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges | $148.88 | $173.98 | $37.25 – $504.25 |
| 4 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $148.88 | $173.98 | $37.25 – $504.25 |
| 5 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $178.65 | $208.78 | $44.70 – $605.10 |
| 6 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $178.65 | $208.78 | $44.70 – $605.10 |
| 7 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges | $178.65 | $208.78 | $44.70 – $605.10 |
| 8 | Aetna medicare advantage case rate · outpatient | $184.91 | $234.14 | $71.95 – $680.61 |
| 9 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $184.91 | $234.14 | $71.95 – $680.61 |
| 10 | Humana medicare advantage case rate · outpatient | $184.91 | $234.14 | $71.95 – $680.61 |
| 11 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $184.91 | $234.14 | $71.95 – $680.61 |
| 12 | Molina medicare-medicaid (mmai/dual) case rate · outpatient | $184.91 | $234.14 | $71.95 – $680.61 |
| 13 | UnitedHealthcare medicare advantage case rate · outpatient | $184.91 | $234.14 | $71.95 – $680.61 |
| 14 | UnitedHealthcare va ccn case rate · outpatient | $184.91 | $234.14 | $71.95 – $680.61 |
| 15 | WellCare medicare advantage hmo case rate · outpatient | $184.91 | $234.14 | $71.95 – $680.61 |
| 16 | Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges | $232.25 | $271.41 | $58.11 – $786.63 |
| 17 | Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges | $232.25 | $271.41 | $58.11 – $786.63 |
| 18 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $235.23 | $274.89 | $58.86 – $796.72 |
| 19 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $302.20 | $303.51 | $9.89 – $822.33 |
| 20 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $302.20 | $303.51 | $9.89 – $822.33 |
| 21 | UnitedHealthcare va ccn fee schedule · inpatient | $197.72 | $308.54 | $61.92 – $1,032 |
| 22 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $287.03 | $335.43 | $71.82 – $972.19 |
| 23 | MultiPlan ppo percent of total billed charges · inpatientfrom % of charges | $297.75 | $347.96 | $74.50 – $1,009 |
| 24 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $297.75 | $347.96 | $74.50 – $1,009 |
| 25 | Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges | $416.01 | $365.87 | $78.40 – $988.33 |
Last updated: Apr 15, 2026
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