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
S-H RBC LEUKO REDU
Victoria, TX
See all hospitals reporting RC 390 →Price type
Victoria of Texas LP’s median price of $266 is 33% below the median hospital's median price ($397), higher than 27% 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: 11 payers, 34 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 node uhc chip medicaid tx facility · fee schedule · outpatient | $30.14 | $44.37 | $20.06 – $82.91 |
| 2 | UnitedHealthcare node uhc star kids medicaid tx facility · fee schedule · outpatient | $30.14 | $44.37 | $20.06 – $82.91 |
| 3 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $30.14 | $44.37 | $20.06 – $82.91 |
| 4 | Medicaid node tx medicaid facility · fee schedule · outpatient | $106.50 | $115.21 | $20.06 – $223.78 |
| 5 | Blue Cross Blue Shield node bcbs star medicaid tx facility · per diem · outpatient | $108.63 | $117.51 | $20.46 – $228.26 |
| 6 | Blue Cross Blue Shield node bcbs star kids medicaid tx facility · per diem · outpatient | $108.63 | $117.51 | $20.46 – $228.26 |
| 7 | Molina node molina chip medicaid tx facility · per diem · outpatient | $111.83 | $120.97 | $21.06 – $234.97 |
| 8 | Molina node molina star medicaid tx facility · per diem · outpatient | $111.83 | $120.97 | $21.06 – $234.97 |
| 9 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $111.83 | $120.97 | $21.06 – $234.97 |
| 10 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $94.34 | $138.88 | $62.79 – $259.51 |
| 11 | Superior Healthplan node superior star kids medicaid tx facility · other · outpatient | $211.36 | $228.63 | $39.80 – $444.09 |
| 12 | Tricare node tricare facility · fee schedule · outpatient | $252.14 | $286.82 | $68.35 – $646.58 |
| 13 | Humana node humana mcr adv facility · fee schedule · outpatient | $261.16 | $297.09 | $70.80 – $669.72 |
| 14 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $261.16 | $297.09 | $70.80 – $669.72 |
| 15 | Tricare node usfhp tricare facility · fee schedule · outpatient | $265.41 | $301.92 | $71.95 – $680.61 |
| 16 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $266.38 | $303.03 | $72.22 – $683.11 |
| 17 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $266.38 | $303.03 | $72.22 – $683.11 |
| 18 | Aetna node aetna mcr adv facility · other · outpatient | $268.99 | $306.00 | $72.92 – $689.81 |
| 19 | Superior Healthplan node superior star medicaid tx facility · other · outpatient | $350.03 | $378.64 | $65.92 – $735.46 |
| 20 | Cigna cigna nbr facility · percent of total billed charges · outpatientfrom % of charges | $502.89 | $544.03 | $94.72 – $1,057 |
| 21 | UnitedHealthcare node uhc health exchange facility · per diem · outpatient | $530.82 | $603.84 | $143.90 – $1,361 |
| 22 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $602.21 | $651.47 | $113.43 – $1,265 |
| 23 | Aetna aetna dow chemical group facility · percent of total billed charges · inpatientfrom % of charges | $697.29 | $754.33 | $131.34 – $1,465 |
| 24 | Aetna aetna dow chemical group facility · percent of total billed charges · outpatientfrom % of charges | $697.29 | $754.33 | $131.34 – $1,465 |
| 25 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $697.29 | $754.33 | $131.34 – $1,465 |
Last updated: Apr 1, 2026
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