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
Platelet Pheresis Leukoreduced Ea
Girardeau, MO
See all hospitals reporting RC 390 →Price type
Southeast Hospital dba Mercy Hospital Southeast’s median price of $363 is 9% below the median hospital's median price ($397), higher than 44% 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: 17 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 | Aetna hb stlo cape aetna better health of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $75.08 | $85.64 | $2.80 – $234.07 |
| 2 | Molina hb stlo cape molina healthchoice of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $75.08 | $85.64 | $2.80 – $234.07 |
| 3 | Cigna hb cape cigna commercial facility · fee schedule · outpatient | $82.15 | $177.70 | $55.75 – $395.19 |
| 4 | Medicaid hb stlo cape il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $173.25 | $197.63 | $6.45 – $540.15 |
| 5 | Medicaid hb cape mo medicaid facility · fee schedule · outpatient | $155.15 | $244.51 | $33.46 – $696.40 |
| 6 | Aetna hb cape aetna medicare 100% facility · other · outpatient | $181.40 | $285.53 | $36.70 – $791.65 |
| 7 | Blue Cross Blue Shield hb cape medicare and 100% managed medicare facility · other · outpatient | $181.40 | $285.53 | $36.70 – $791.65 |
| 8 | Humana hb cape humana medicare ip 97% op 100% w/seq facility · other · outpatient | $181.40 | $285.53 | $36.70 – $791.65 |
| 9 | Medica hb cape medicare and 100% managed medicare facility · other · outpatient | $181.40 | $285.53 | $36.70 – $791.65 |
| 10 | Medicare hb cape medicare and 100% managed medicare facility · other · outpatient | $181.40 | $285.53 | $36.70 – $791.65 |
| 11 | Tricare hb cape tricare facility · other · outpatient | $181.40 | $285.53 | $36.70 – $791.65 |
| 12 | UnitedHealthcare hb cape uhc medicare advantage 100% facility · other · outpatient | $181.40 | $285.53 | $36.70 – $791.65 |
| 13 | WellCare hb cape home state medicare advantage 100% w/seq facility · other · outpatient | $181.40 | $285.53 | $36.70 – $791.65 |
| 14 | WellCare hb cape medicare and 100% managed medicare facility · other · outpatient | $181.40 | $285.53 | $36.70 – $791.65 |
| 15 | Blue Cross Blue Shield hb cape anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $147.79 | $295.69 | $30.05 – $651.78 |
| 16 | Devoted hb cape devoted health medicare advantage 104% w/seq facility · other · outpatient | $188.65 | $296.94 | $38.17 – $823.28 |
| 17 | WellCare hb cape wellcare ky 105% medicare w/seq facility · other · outpatient | $190.64 | $300.08 | $38.57 – $832.00 |
| 18 | UnitedHealthcare hb cape uhc managed medicaid facility · fee schedule · outpatient | $232.73 | $366.76 | $50.19 – $1,045 |
| 19 | Ambetter hb cape home state ambetter exchange bh & 130% mcr facility · other · outpatient | $240.38 | $376.73 | $47.49 – $1,024 |
| 20 | Anthem hb cape anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $403.90 | $403.90 | $156.02 – $651.78 |
| 21 | Blue Cross Blue Shield hb cape anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $403.90 | $403.90 | $156.02 – $651.78 |
| 22 | Blue Cross Blue Shield hb cape anthem blue preferred/alliance facility · percent of total billed charges · outpatientfrom % of charges | $403.90 | $403.90 | $156.02 – $651.78 |
| 23 | UnitedHealthcare hb cape dec rates ip 150% op 150% default 70% facility · other · outpatient | $272.10 | $428.29 | $55.05 – $1,187 |
| 24 | Blue Cross Blue Shield hb cape missouri care health plan/healthy blue facility · fee schedule · outpatient | $279.27 | $440.11 | $60.23 – $1,254 |
| 25 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $548.63 | $625.83 | $20.43 – $1,710 |
Last updated: Jun 11, 2026
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