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 Platelets Pheresis Leukocytes Reduced Irradiated Each Unit
Livonia, MI
See all hospitals reporting RC 390 →Price type
St Mary Mercy Livonia’s median price of $287 is 28% below the median hospital's median price ($397), higher than 32% 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: 21 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 | Blue Cross Blue Shield blue cross complete medicaid facility · other · both | $85.20 | $130.80 | $39.34 – $387.10 |
| 2 | Molina molina medicaid facility · other · both | $86.87 | $133.36 | $40.10 – $394.67 |
| 3 | Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges | $150.68 | $246.36 | $64.92 – $796.52 |
| 4 | Aetna aetna medicare advantage facility · other · both | $152.72 | $251.65 | $70.51 – $693.90 |
| 5 | Blue Cross Blue Shield bcbs medicare advantage facility · other · both | $152.72 | $251.65 | $70.51 – $693.90 |
| 6 | Molina molina medicare advantage facility · other · both | $152.72 | $251.65 | $70.51 – $693.90 |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $160.52 | $264.49 | $74.11 – $729.30 |
| 8 | Blue Cross Blue Shield bcbs mi local hmo facility · fee schedule · both | $148.12 | $271.11 | $64.57 – $789.77 |
| 9 | Molina molina hmo marketplace facility · other · both | $202.59 | $333.82 | $93.54 – $920.48 |
| 10 | Aetna aetna dominos ppo facility · percent of total billed charges · bothfrom % of charges | $204.80 | $334.83 | $88.24 – $1,083 |
| 11 | Aetna aetna ppo facility · percent of total billed charges · bothfrom % of charges | $262.16 | $424.68 | $0.01 – $1,430 |
| 12 | Anthem bcbs trad / trust facility · fee schedule · both | $238.13 | $435.87 | $103.82 – $1,270 |
| 13 | Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · both | $238.13 | $435.87 | $103.82 – $1,270 |
| 14 | Carefirst bcbs trad / trust facility · fee schedule · both | $238.13 | $435.87 | $103.82 – $1,270 |
| 15 | Excellus bcbs trad / trust facility · fee schedule · both | $238.13 | $435.87 | $103.82 – $1,270 |
| 16 | Highmark bcbs trad / trust facility · fee schedule · both | $238.13 | $435.87 | $103.82 – $1,270 |
| 17 | Kaiser bcbs trad / trust facility · fee schedule · both | $238.13 | $435.87 | $103.82 – $1,270 |
| 18 | Premera bcbs trad / trust facility · fee schedule · both | $238.13 | $435.87 | $103.82 – $1,270 |
| 19 | Regence bcbs trad / trust facility · fee schedule · both | $238.13 | $435.87 | $103.82 – $1,270 |
| 20 | Wellmark bcbs trad / trust facility · fee schedule · both | $238.13 | $435.87 | $103.82 – $1,270 |
| 21 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $283.00 | $458.43 | $0.01 – $1,544 |
| 22 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $287.02 | $464.95 | $0.01 – $1,566 |
| 23 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $287.02 | $464.95 | $0.01 – $1,566 |
| 24 | Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $287.02 | $464.95 | $0.01 – $1,566 |
| 25 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $289.28 | $468.61 | $0.01 – $1,578 |
Last updated: Mar 31, 2026
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