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 FFP SNGL DON WITHIN 8 HR EA
WESTFIELD, NY
See all hospitals reporting RC 390 →Price type
Westfield Memorial Hospital Inc’s median price of $244 is 38% below the median hospital's median price ($397), higher than 21% 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: 6 payers, 29 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 | Highmark highmark together blue fee schedule · outpatient | $119.83 | $213.85 | $11.55 – $511.50 |
| 2 | Highmark highmark blue high performance fee schedule · outpatient | $114.73 | $229.34 | $11.55 – $511.50 |
| 3 | Highmark highmark my direct blue fee schedule · outpatient | $168.52 | $284.37 | $11.55 – $697.85 |
| 4 | UnitedHealthcare united healthcare chip fee schedule · outpatient | $255.31 | $289.44 | $48.00 – $622.88 |
| 5 | UnitedHealthcare united healthcare medicaid fee schedule · outpatient | $255.31 | $289.44 | $48.00 – $622.88 |
| 6 | Highmark highmark social mission indemnity fee schedule · outpatient | $205.55 | $321.66 | $11.55 – $851.20 |
| 7 | Highmark highmark social mission managed care fee schedule · outpatient | $205.55 | $321.66 | $11.55 – $851.20 |
| 8 | Highmark highmark my blue access fee schedule · outpatient | $235.92 | $352.24 | $11.55 – $976.97 |
| 9 | Highmark highmark community blue medicare ppo fee schedule · outpatient | $315.25 | $357.76 | $77.40 – $735.59 |
| 10 | Highmark highmark complete blue medicare fee schedule · outpatient | $315.25 | $357.76 | $77.40 – $735.59 |
| 11 | Highmark highmark freedom blue fee schedule · outpatient | $318.68 | $361.64 | $78.24 – $743.58 |
| 12 | Highmark highmark performance blue fee schedule · outpatient | $281.24 | $397.88 | $11.55 – $1,165 |
| 13 | UnitedHealthcare united healthcare commercial fee schedule · outpatient | $352.94 | $400.53 | $86.65 – $823.54 |
| 14 | Aetna aetna medicare fee schedule · outpatient | $356.37 | $404.42 | $87.49 – $831.53 |
| 15 | Highmark highmark community blue medicare hmo fee schedule · outpatient | $356.37 | $404.42 | $87.49 – $831.53 |
| 16 | Highmark highmark security blue fee schedule · outpatient | $356.37 | $404.42 | $87.49 – $831.53 |
| 17 | Highmark highmark together blue medicare fee schedule · outpatient | $356.37 | $404.42 | $87.49 – $831.53 |
| 18 | Humana humana commercial fee schedule · outpatient | $363.22 | $412.19 | $89.17 – $847.52 |
| 19 | UnitedHealthcare united healthcare medicare i-snp fee schedule · outpatient | $366.65 | $416.08 | $90.01 – $855.52 |
| 20 | UnitedHealthcare united healthcare medicare d-snp fee schedule · outpatient | $370.07 | $419.97 | $90.86 – $863.51 |
| 21 | Highmark highmark connect blue fee schedule · outpatient | $303.31 | $420.10 | $11.55 – $1,256 |
| 22 | Molina molina ohio fee schedule · outpatient | $373.50 | $423.86 | $91.70 – $871.51 |
| 23 | First Health first health ppo percent of total billed charges · outpatientfrom % of charges | $378.56 | $429.58 | $134.74 – $1,092 |
| 24 | UnitedHealthcare united healthcare navigate nexus commercial percent of total billed charges · outpatientfrom % of charges | $378.56 | $429.58 | $134.74 – $1,092 |
| 25 | Highmark highmark community blue fee schedule · outpatient | $320.16 | $437.07 | $11.55 – $1,326 |
Last updated: Apr 14, 2026
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