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 RX FACTOR IP MED 636 OP 636
Low
$0
Average
$16.8k
Median
$760
High
$180.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 1617.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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12 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 2 | American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 3 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $760 | $760 | — | — | — | $760 – $760 |
| 4 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $760 | $760 | — | — | — | $760 – $760 |
| 5 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $180.0k | $180.0k | — | — | — | $180.0k – $180.0k |
| 6 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $760 | $760 | — | — | — | $760 – $760 |
| 7 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 8 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $760 | $760 | — | — | — | $760 – $760 |
| 9 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 1 | $760 | $760 | — | — | — | $760 – $760 |
| 10 | Metrohealth System Parma, OH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | New Liberty Hospital Corporation Liberty, MO facility · fee schedule · outpatient | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient | 1 | $760 | $760 | — | — | — | $760 – $760 |
← Payers reporting HCPCS J7199 · Snapshot 20261112T181611Z-3fa9fb76