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
Vernon, IN
See all hospitals reporting RC 390 →Price type
St. Vincent Jennings Hospital, Inc.’s median price of $510 is 28% above the median hospital's median price ($397), higher than 68% 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: 14 payers, 77 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 8347_aetna medicare replacement choice vjin 20240701 percent of total billed charges · outpatientfrom % of charges | $174.46 | $175.78 | $58.88 – $295.32 |
| 2 | WellCare 8357_wellcare medicare replacement vjin 20240701 percent of total billed charges · outpatientfrom % of charges | $188.72 | $204.20 | $58.88 – $440.22 |
| 3 | Anthem 4090_anthem behavioral medicaid replacement outpatient 20200201 fee schedule · outpatient | $207.26 | $207.26 | $207.26 – $207.26 |
| 4 | UnitedHealthcare 8356_united healthcare medicare replacement vjin 20240701 percent of total billed charges · outpatientfrom % of charges | $211.83 | $211.98 | $128.80 – $295.32 |
| 5 | Aetna 8348_aetna medicare replacement vjin 20240701 percent of total billed charges · bothfrom % of charges | $164.10 | $222.62 | $51.20 – $708.40 |
| 6 | UnitedHealthcare 8356_united healthcare medicare replacement vjin 20240701 percent of total billed charges · bothfrom % of charges | $144.00 | $239.03 | $51.20 – $708.40 |
| 7 | Ambetter 8353_mhs cenpatico ambetter marketplace vjin 20240701 percent of total billed charges · outpatientfrom % of charges | $188.72 | $256.01 | $58.88 – $814.66 |
| 8 | Anthem 8349_anthem medicare replacement vjin 20240701 percent of total billed charges · outpatientfrom % of charges | $188.72 | $256.01 | $58.88 – $814.66 |
| 9 | Caresource 9196_caresource marketplace vjin 20240701 percent of total billed charges · outpatientfrom % of charges | $188.72 | $256.01 | $58.88 – $814.66 |
| 10 | Humana 8351_humana ppo medicare replacement vjin 20240701 percent of total billed charges · outpatientfrom % of charges | $188.72 | $256.01 | $58.88 – $814.66 |
| 11 | Aetna 8347_aetna medicare replacement choice vjin 20240701 percent of total billed charges · bothfrom % of charges | $164.10 | $269.13 | $83.40 – $708.40 |
| 12 | Humana 8683_humana ppo medicare replacement inpatient svin 20241001 percent of total billed charges · outpatientfrom % of charges | $205.13 | $278.28 | $64.00 – $885.50 |
| 13 | Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 14 | Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 15 | Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 16 | WellCare 8357_wellcare medicare replacement vjin 20240701 percent of total billed charges · bothfrom % of charges | $184.40 | $290.20 | $83.60 – $708.40 |
| 17 | Ambetter 8245_mhs cenpatico ambetter outpatient vjin 20230701 percent of total billed charges · outpatientfrom % of charges | $221.54 | $300.54 | $69.12 – $956.34 |
| 18 | Devoted 8128_devoted health medicare advantage vjin 20231120 percent of total billed charges · outpatientfrom % of charges | $221.54 | $300.54 | $69.12 – $956.34 |
| 19 | Humana 8350_humana gold choice medicare replacement vjin 20240701 percent of total billed charges · outpatientfrom % of charges | $221.54 | $300.54 | $69.12 – $956.34 |
| 20 | Anthem 9270_anthem healthsync hmo vjin 20250101 percent of total billed charges · outpatientfrom % of charges | $393.84 | $534.29 | $122.88 – $1,700 |
| 21 | Anthem 9274_anthem pathway x vjin 20250101 percent of total billed charges · outpatientfrom % of charges | $393.84 | $534.29 | $122.88 – $1,700 |
| 22 | Anthem 9353_anthem short term limited duration vjin 20250101 percent of total billed charges · outpatientfrom % of charges | $393.84 | $534.29 | $122.88 – $1,700 |
| 23 | Anthem 9271_anthem healthsync pos vjin 20250101 percent of total billed charges · outpatientfrom % of charges | $426.66 | $578.81 | $133.12 – $1,842 |
| 24 | Aetna 3697_aetna svin vfin vhin 20210101 percent of total billed charges · outpatientfrom % of charges | $475.89 | $645.60 | $148.48 – $2,054 |
| 25 | Anthem 9272_anthem hmo pos vjin 20250101 percent of total billed charges · outpatientfrom % of charges | $500.51 | $678.99 | $156.16 – $2,161 |
Last updated: Jan 1, 2026
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