RC 636

Skin graft, 10 inch by 4 inch matrix

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PROPOFOL 10 MG/ML INFUSION (WRAPPER)

Payers reporting RC 636

72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	UnitedHealthcare fee schedule · outpatient · +39 other terms	616	$675.43	$19,685	— – $17,119,000
2	Aetna fee schedule · outpatient · +37 other terms	343	$351.65	$1,875	— – $13,873,048
3	Cigna fee schedule · outpatient · +35 other terms	293	$200.90	$981.29	— – $7,131,042
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +33 other terms	281	$205.40	$67,709	$0.01 – $379,707,196
5	Humana fee schedule · outpatient · +33 other terms	278	$284.52	$3,575	— – $14,145,068
6	Anthem fee schedule · outpatient · +32 other terms	163	$242.62	$3,004	$0.01 – $8,628,000
7	Molina fee schedule · outpatient · +32 other terms	146	$125.97	$1,100	— – $6,068,322
8	WellCare fee schedule · outpatient · +25 other terms	123	$356.44	$21,492	— – $14,009,058
9	MultiPlan fee schedule · outpatient · +25 other terms	116	$2,080	$3,419	$0.01 – $8,032,668
10	Devoted facility · fee schedule · outpatient · +20 other terms	106	$101.37	$6,018	$0.01 – $4,053,793
11	Kaiser fee schedule · outpatient · +28 other terms	90	$440.16	$2,459	$0.01 – $14,009,058
12	Tricare facility · fee schedule · outpatient · +20 other terms	88	$123.03	$3,691	$0.01 – $6,026,779
13	Highmark facility · fee schedule · outpatient · +19 other terms	71	$235.91	$2,301	— – $7,742,758
14	Optum facility · fee schedule · outpatient · +25 other terms	60	$1,262	$10,707	$0.01 – $3,672,900
15	Ambetter facility · fee schedule · outpatient · +24 other terms	58	$238.30	$4,527	$0.01 – $6,097,014
16	Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms	58	$86.99	$35,309	— – $3,611,561
17	Medicare facility · fee schedule · outpatient · +21 other terms	57	$343.51	$2,446	$0.01 – $3,691,450
18	Medicaid facility · fee schedule · outpatient · +22 other terms	52	$419.43	$1,305	$0.01 – $142,038
19	Caresource fee schedule · outpatient · +22 other terms	51	$538.12	$11,268	$0.01 – $14,009,058
20	Regence facility · fee schedule · both · +18 other terms	50	$2,446	$3,180	$0.01 – $484,457
21	First Health fee schedule · outpatient · +21 other terms	48	$1,638	$2,650	$0.01 – $7,786,770
22	Oscar facility · fee schedule · outpatient · +17 other terms	48	$112.03	$1,023	— – $2,760,439
23	Medica fee schedule · outpatient · +21 other terms	43	$930.70	$1,064	$0.01 – $3,459,203
24	Premera facility · fee schedule · both · +15 other terms	43	$2,493	$3,061	$0.01 – $484,457
25	Wellmark facility · fee schedule · both · +16 other terms	43	$2,502	$2,960	$0.01 – $484,457

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