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 PLASMA FRZ BETWEEN 8 24HOUR
Philadelphia, PA
See all hospitals reporting RC 390 →Price type
The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania’s median price of $757 is 91% above the median hospital's median price ($397), higher than 87% 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: 16 payers, 51 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 | Kaiser kaiser transplant medicaid facility · fee schedule · outpatient | $31.50 | $31.50 | $31.50 – $31.50 |
| 2 | Cigna cigna new business facility · fee schedule · outpatient | $58.85 | $58.91 | $45.59 – $72.34 |
| 3 | Aetna aetna hmo facility · case rate · outpatient | $60.65 | $60.65 | $53.51 – $67.78 |
| 4 | Aetna aetna commercial hmo with capitation facility · case rate · outpatient | $75.27 | $75.27 | $66.41 – $84.12 |
| 5 | Bcbs Nj horizon blue cross of nj-hmo pos and direct access facility · case rate · outpatient | $107.68 | $109.19 | $84.92 – $134.96 |
| 6 | Bcbs Nj horizon blue cross of nj-indemnity facility · case rate · outpatient | $161.52 | $163.78 | $127.38 – $202.44 |
| 7 | Bcbs Nj horizon blue cross of nj-ppo facility · case rate · outpatient | $161.52 | $163.78 | $127.38 – $202.44 |
| 8 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $191.46 | $255.89 | $59.10 – $811.94 |
| 9 | Kaiser kaiser transplant medicare facility · fee schedule · outpatient | $184.91 | $266.21 | $53.25 – $680.61 |
| 10 | Medicare medicare facility · fee schedule · outpatient | $184.91 | $266.21 | $53.25 – $680.61 |
| 11 | Optum optum urn-transplant managed medicare facility · other · outpatient | $184.91 | $266.21 | $53.25 – $680.61 |
| 12 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $190.46 | $274.20 | $54.85 – $701.03 |
| 13 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $196.00 | $282.18 | $56.45 – $721.45 |
| 14 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $196.00 | $282.18 | $56.45 – $721.45 |
| 15 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · fee schedule · outpatient | $310.00 | $449.08 | $12.56 – $1,400 |
| 16 | Blue Cross Blue Shield personal choice-ibc ppo facility · fee schedule · outpatient | $310.00 | $452.17 | $27.73 – $1,400 |
| 17 | Blue Cross Blue Shield ibc traditional facility · fee schedule · outpatient | $310.00 | $477.57 | $110.00 – $1,400 |
| 18 | Optum optum urn-transplant managed medicaid facility · other · outpatient | $167.06 | $492.68 | $46.86 – $5,666 |
| 19 | Tricare tricare facility · fee schedule · outpatient | $189.84 | $534.50 | $39.26 – $4,843 |
| 20 | Highmark highmark facility · other · outpatient | $399.21 | $963.71 | $111.98 – $9,199 |
| 21 | Devoted devoted health medicare advantage facility · other · outpatient | $199.33 | $979.34 | $55.91 – $14,718 |
| 22 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $476.70 | $1,010 | $48.80 – $8,352 |
| 23 | Aetna aetna commercial hmo with capitation facility · percent of total billed charges · outpatientfrom % of charges | $585.32 | $1,149 | $48.80 – $8,352 |
| 24 | Bcbs Nj horizon blue cross of nj-hmo pos and direct access facility · percent of total billed charges · outpatientfrom % of charges | $696.20 | $1,366 | $58.05 – $9,934 |
| 25 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $806.77 | $1,603 | $74.48 – $12,745 |
Last updated: Feb 10, 2026
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