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
$4
Average
$138
Median
$162
High
$314
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
47 hospitals; the 90th percentile is 40.6× 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.
Filter by billing methodology
Filter by billing class
57 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 2 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 3 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 4 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 7 | COCHRAN MEMORIAL HOSPITAL MORTON, TX fee schedule · both | 1 | $5 | $5 | $2 | 47% | — | $3 – $7 |
| 8 | COCHRAN MEMORIAL HOSPITAL MORTON, TX other · both | 1 | $5 | $5 | $2 | 47% | — | $3 – $7 |
| 9 | COCHRAN MEMORIAL HOSPITAL MORTON, TX percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | $1 | 47% | — | $2 – $5 |
| 10 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 11 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 13 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 14 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 15 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 2 | $7 | $7 | $0 | 4% | — | $7 – $7 |
| 16 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $7 | $0 | 4% | — | $7 – $7 |
| 17 | Fairview Health Services Edina, MN percent of total billed charges · inpatientfrom % of charges | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 19 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 20 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 21 | Fairview Health Services Burnsville, MN percent of total billed charges · inpatientfrom % of charges | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 22 | Fairview Health Services Burnsville, MN percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 23 | Fairview Health Services Wyoming, MN percent of total billed charges · inpatientfrom % of charges | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 24 | Fairview Health Services Wyoming, MN percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 25 | Fairview Health Services Princeton, MN percent of total billed charges · inpatientfrom % of charges | 2 | $5 | $5 | — | — | — | $5 – $5 |
← Payers reporting HCPCS J7199 · Snapshot 20261112T181611Z-3fa9fb76