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 LAB BLOOD SPLIT UNIT
Sugar Land, TX
See all hospitals reporting RC 390 →Price type
St Lukes Community Development Corporation - Sugar Land’s median price of $381 is 4% below the median hospital's median price ($397), higher than 48% 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: 10 payers, 36 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 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $88.00 | $88.00 | $88.00 – $88.00 |
| 2 | Cigna commercial|hmo fee schedule · outpatient | $100.00 | $100.00 | $100.00 – $100.00 |
| 3 | Cigna commercial|ppo fee schedule · outpatient | $100.00 | $100.00 | $100.00 – $100.00 |
| 4 | Cigna commercial|surefit fee schedule · outpatient | $100.00 | $100.00 | $100.00 – $100.00 |
| 5 | UnitedHealthcare commercial|charter fee schedule · outpatient | $129.00 | $129.00 | $129.00 – $129.00 |
| 6 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $144.00 | $144.00 | $144.00 – $144.00 |
| 7 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $144.00 | $144.00 | $144.00 – $144.00 |
| 8 | UnitedHealthcare medicaid|all other plans fee schedule · outpatient | $142.74 | $219.24 | $51.68 – $493.66 |
| 9 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $182.29 | $275.88 | $62.41 – $676.75 |
| 10 | Cigna Healthspring medicare|hmo case rate · outpatient | $182.29 | $275.88 | $62.41 – $676.75 |
| 11 | Humana medicare|all other plans case rate · outpatient | $182.29 | $275.88 | $62.41 – $676.75 |
| 12 | Humana medicare|transplant case rate · outpatient | $182.29 | $275.88 | $62.41 – $676.75 |
| 13 | Cigna Healthspring medicare|ppo case rate · outpatient | $184.11 | $278.63 | $63.03 – $683.52 |
| 14 | Aetna medicare|all plans case rate · outpatient | $185.94 | $281.39 | $63.66 – $690.28 |
| 15 | UnitedHealthcare medicare|all plans case rate · outpatient | $185.94 | $281.39 | $63.66 – $690.28 |
| 16 | UnitedHealthcare medicaid|star fee schedule · outpatient | $191.72 | $294.46 | $69.42 – $663.05 |
| 17 | Optum medicare|all plans fee schedule · outpatient | $330.48 | $396.91 | $94.23 – $1,059 |
| 18 | Superior Healthplan commercial|all plans case rate · outpatient | $273.44 | $413.81 | $93.61 – $1,015 |
| 19 | Aetna commercial|exchange case rate · outpatient | $280.73 | $424.85 | $96.11 – $1,042 |
| 20 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $505.27 | $505.27 | $117.00 – $893.53 |
| 21 | Optum medicaid|star fee schedule · outpatient | $442.85 | $531.87 | $126.27 – $1,420 |
| 22 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $657.55 | $657.55 | $152.27 – $1,163 |
| 23 | UnitedHealthcare medicaid|starplus fee schedule · outpatient | $436.61 | $670.60 | $158.09 – $1,510 |
| 24 | UnitedHealthcare commercial|optum fee schedule · outpatient | $575.28 | $690.92 | $164.03 – $1,844 |
| 25 | Cigna commercial|transplant fee schedule · outpatient | $785.10 | $955.53 | $209.40 – $2,747 |
Last updated: Feb 28, 2026
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