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
PROD- FFP 14483
Sapulpa, OK
See all hospitals reporting RC 390 →Price type
St. John Sapulpa, Inc.’s median price of $429 is 8% above the median hospital's median price ($397), higher than 55% 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: 8 payers, 19 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 | Medica 2916_spok medica 20250101 percent of total billed charges · outpatientfrom % of charges | $166.06 | $252.43 | $18.75 – $679.94 |
| 2 | Medica 2709_baok, jpok, mcok, ohok medica outpatient 20250101 percent of total billed charges · outpatientfrom % of charges | $238.71 | $360.76 | $7.82 – $1,261 |
| 3 | Blue Cross Blue Shield 2442_spok critical access hospital native blue medicare outpatient 20240208 percent of total billed charges · outpatientfrom % of charges | $280.23 | $423.50 | $9.18 – $1,481 |
| 4 | Blue Cross Blue Shield 2467_spok blue cross blue shield medicare advantage outpatient 20240208 percent of total billed charges · outpatientfrom % of charges | $290.61 | $439.19 | $9.52 – $1,535 |
| 5 | UnitedHealthcare 2956_spok united health care medicare advantage outpatient 20250701 percent of total billed charges · outpatientfrom % of charges | $300.99 | $454.87 | $9.86 – $1,590 |
| 6 | Medica 2916_spok medica 20250101 percent of total billed charges · bothfrom % of charges | $335.63 | $455.01 | $7.82 – $1,261 |
| 7 | UnitedHealthcare 2948_jpok, baok, ohok united health care 20250701 per diem · outpatient | $621.00 | $621.00 | $621.00 – $621.00 |
| 8 | UnitedHealthcare 2950_spok, nhok united health care 20250701 per diem · outpatient | $656.00 | $656.00 | $656.00 – $656.00 |
| 9 | Aetna 605_spok aetna whole health 20160415 percent of total billed charges · outpatientfrom % of charges | $446.29 | $674.46 | $14.62 – $2,358 |
| 10 | Aetna 2659_mcok, baok, ohok aetna whole health 20241001 percent of total billed charges · outpatientfrom % of charges | $579.26 | $789.38 | $23.32 – $2,413 |
| 11 | Healthcare Highways 683_healthcare highways 20170101 percent of total billed charges · outpatientfrom % of charges | $664.24 | $1,004 | $21.76 – $3,509 |
| 12 | Aetna 2658_mcok, baok, ohok aetna hmo 20241001 percent of total billed charges · outpatientfrom % of charges | $695.38 | $1,051 | $22.78 – $3,674 |
| 13 | First Health 864_nhok spok first health 20141201 percent of total billed charges · outpatientfrom % of charges | $726.52 | $1,098 | $23.80 – $3,838 |
| 14 | Aetna 503_spok aetna hmo 20161001 percent of total billed charges · outpatientfrom % of charges | $778.41 | $1,176 | $25.50 – $4,113 |
| 15 | Cigna 2093_nhok, spok cigna 20211001 percent of total billed charges · outpatientfrom % of charges | $830.30 | $1,255 | $27.20 – $4,387 |
| 16 | First Health 2649_baok, jpok, mcok, ohok first health 20241001 percent of total billed charges · outpatientfrom % of charges | $830.30 | $1,255 | $27.20 – $4,387 |
| 17 | MultiPlan 846_baok, mcok, ohok multiplan 20180101 percent of total billed charges · outpatientfrom % of charges | $882.20 | $1,333 | $28.90 – $4,661 |
| 18 | MultiPlan 847_spok, nhok multiplan 20180101 percent of total billed charges · outpatientfrom % of charges | $934.09 | $1,412 | $30.60 – $4,935 |
| 19 | UnitedHealthcare 2698_baok, jpok, mcok, ohok united health care medicare outpatient 20250101 percent of total billed charges · outpatientfrom % of charges | $1,038 | $1,569 | $34.00 – $5,484 |
Last updated: Jan 1, 2026
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