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 CROSSMATCH PLATELET TAGGING, PER COMPONENT #LS825 (204)
Goodyear, AZ
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Western Regional Medical Center, Inc.’s median price of $230 is 42% below the median hospital's median price ($397), higher than 19% 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: 7 payers, 15 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 | Ambetter medicaid all plans fee schedule · outpatient | $149.25 | $185.65 | $5.62 – $434.13 |
| 2 | UnitedHealthcare medicaid all plans fee schedule · outpatient | $153.87 | $191.40 | $5.79 – $447.56 |
| 3 | Aetna all commercial plans percent of total billed charges · outpatientfrom % of charges | $214.20 | $214.20 | $214.20 – $214.20 |
| 4 | Blue Cross Blue Shield medicare all plans fee schedule · outpatient | $211.99 | $290.80 | $52.15 – $720.13 |
| 5 | Humana all medicare ppo plans fee schedule · outpatient | $211.99 | $290.80 | $52.15 – $720.13 |
| 6 | Humana medicare all plans fee schedule · outpatient | $211.99 | $290.80 | $52.15 – $720.13 |
| 7 | UnitedHealthcare medicare all plans fee schedule · outpatient | $211.99 | $290.80 | $52.15 – $720.13 |
| 8 | WellCare medicare all plans fee schedule · outpatient | $211.99 | $290.80 | $52.15 – $720.13 |
| 9 | UnitedHealthcare all commercial plans per diem · outpatient | $325.00 | $291.50 | $172.00 – $325.00 |
| 10 | Ambetter medicare all plans fee schedule · outpatient | $250.79 | $393.06 | $73.01 – $1,008 |
| 11 | Humana all commercial plans fee schedule · outpatient | $260.49 | $418.41 | $78.23 – $1,080 |
| 12 | Cigna all hmo plans percent of total billed charges · outpatientfrom % of charges | $222.42 | $482.75 | $56.76 – $1,685 |
| 13 | Aetna all commercial plans fee schedule · outpatient | $306.60 | $537.34 | $14.21 – $1,547 |
| 14 | Cigna all ppo plans percent of total billed charges · outpatientfrom % of charges | $314.09 | $681.70 | $80.15 – $2,379 |
| 15 | Blue Cross Blue Shield all commercial plans fee schedule · outpatient | $256.77 | $782.50 | $48.50 – $2,249 |
Last updated: Mar 27, 2026
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