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
PLATELETS PHERESIS PATH REDU EA
Williamsport, IN
See all hospitals reporting RC 390 →Price type
St. Vincent Williamsport Hospital, Inc.’s median price of $915 is 130% above the median hospital's median price ($397), higher than 93% 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, 75 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 | Anthem 4090_anthem behavioral medicaid replacement outpatient 20200201 fee schedule · outpatient | $207.26 | $207.26 | $207.26 – $207.26 |
| 2 | Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 3 | Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 4 | Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 5 | Aetna 8397_aetna medicare replacement choice vwin 20240701 percent of total billed charges · outpatientfrom % of charges | $269.90 | $404.28 | $109.00 – $937.00 |
| 6 | Aetna 8398_aetna medicare replacement vwin 20240701 percent of total billed charges · outpatientfrom % of charges | $269.90 | $404.28 | $109.00 – $937.00 |
| 7 | Ambetter 3458_mhs cenpatico ambetter outpatient vwin 20200201 percent of total billed charges · outpatientfrom % of charges | $269.90 | $404.28 | $109.00 – $937.00 |
| 8 | Ambetter 8405_mhs cenpatico ambetter marketplace vwin 20240701 percent of total billed charges · outpatientfrom % of charges | $269.90 | $404.28 | $109.00 – $937.00 |
| 9 | Anthem 8399_anthem medicare replacement vwin 20240701 percent of total billed charges · outpatientfrom % of charges | $269.90 | $404.28 | $109.00 – $937.00 |
| 10 | Caresource 9219_caresource marketplace vwin 20240701 percent of total billed charges · outpatientfrom % of charges | $269.90 | $404.28 | $109.00 – $937.00 |
| 11 | Humana 8400_humana gold choice medicare replacement vwin 20240701 percent of total billed charges · outpatientfrom % of charges | $269.90 | $404.28 | $109.00 – $937.00 |
| 12 | Humana 8401_humana ppo medicare replacement vwin 20240701 percent of total billed charges · outpatientfrom % of charges | $269.90 | $404.28 | $109.00 – $937.00 |
| 13 | UnitedHealthcare 8408_united healthcare medicare replacement vwin 20240701 percent of total billed charges · outpatientfrom % of charges | $269.90 | $404.28 | $109.00 – $937.00 |
| 14 | WellCare 8409_wellcare medicare replacement vwin 20240701 percent of total billed charges · outpatientfrom % of charges | $269.90 | $404.28 | $109.00 – $937.00 |
| 15 | Devoted 8144_devoted health medicare advantage vwin 20231120 percent of total billed charges · outpatientfrom % of charges | $296.89 | $444.71 | $119.90 – $1,031 |
| 16 | Humana 8683_humana ppo medicare replacement inpatient svin 20241001 percent of total billed charges · outpatientfrom % of charges | $337.38 | $505.35 | $136.25 – $1,171 |
| 17 | First Health 1843_first health 20120101 percent of total billed charges · outpatientfrom % of charges | $520.80 | $557.90 | $381.50 – $771.40 |
| 18 | Anthem 9340_anthem healthsync hmo vwin 20250101 percent of total billed charges · outpatientfrom % of charges | $526.31 | $788.35 | $212.55 – $1,827 |
| 19 | Anthem 9344_anthem pathway x vwin 20250101 percent of total billed charges · outpatientfrom % of charges | $526.31 | $788.35 | $212.55 – $1,827 |
| 20 | Anthem 9357_anthem short term limited duration vwin 20250101 percent of total billed charges · outpatientfrom % of charges | $526.31 | $788.35 | $212.55 – $1,827 |
| 21 | Anthem 9341_anthem healthsync pos vwin 20250101 percent of total billed charges · outpatientfrom % of charges | $580.29 | $869.20 | $234.35 – $2,015 |
| 22 | First Health 2124_first health 20101001 percent of total billed charges · bothfrom % of charges | $714.35 | $934.57 | $495.95 – $1,593 |
| 23 | Anthem 9342_anthem hmo pos vwin 20250101 percent of total billed charges · outpatientfrom % of charges | $688.25 | $1,031 | $277.95 – $2,389 |
| 24 | Anthem 9343_anthem pathway vwin 20250101 percent of total billed charges · outpatientfrom % of charges | $701.74 | $1,051 | $283.40 – $2,436 |
| 25 | Anthem 9345_anthem preferred vwin 20250101 percent of total billed charges · outpatientfrom % of charges | $701.74 | $1,051 | $283.40 – $2,436 |
Last updated: Jan 1, 2026
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