RC 636

Skin graft, 10 inch by 4 inch matrix at Advocate Lutheran General Hospital

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

DEXAMETHASONE SOD PHOSPHATE PF 10 MG-ML IJ SOLN

Park Ridge, IL

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How this price compares nationally

Advocate Lutheran General Hospital’s median price of $72 is 22% above the median hospital's median price ($59), higher than 58% of the 1,987 hospitals reporting RC 636. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 636 at Advocate Lutheran General Hospital

Negotiated rates from the hospital’s own file: 8 payers, 20 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	Oscar medicare advantage other · outpatient	$6.64	$6.64	$6.64 – $6.64
2	Aetna commercial other · outpatient	$88.35	$88.35	$88.35 – $88.35
3	Cigna commercial fee schedule · outpatient	$46.95	$152.88	$0.02 – $4,147
4	Ambetter medicare advantage case rate · outpatient	$60.69	$163.17	$0.45 – $3,064
5	Molina medicare advantage case rate · outpatient	$60.69	$163.17	$0.45 – $3,064
6	Oscar medicare advantage case rate · outpatient	$62.78	$168.80	$0.46 – $3,170
7	UnitedHealthcare commercial fee schedule · outpatient	$44.45	$171.11	$0.02 – $6,983
8	Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges	$94.90	$185.46	$0.90 – $4,212
9	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$104.90	$202.75	$1.02 – $4,433
10	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$80.59	$221.06	$0.24 – $4,845
11	UnitedHealthcare hmo fee schedule · outpatient	$77.25	$259.74	$0.03 – $6,983
12	Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges	$106.90	$292.68	$0.33 – $6,529
13	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$108.66	$297.51	$0.33 – $6,637
14	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$117.63	$322.07	$0.36 – $7,185
15	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$117.63	$322.07	$0.36 – $7,185
16	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$34.91	$336.80	$2.85 – $3,218
17	UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges	$52.15	$516.81	$5.63 – $3,726
18	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$59.46	$574.35	$4.24 – $3,564
19	Blue Cross Blue Shield commercial fee schedule · outpatient	$170.59	$680.55	$0.08 – $12,157
20	Blue Cross Blue Shield ppo fee schedule · outpatient	$194.09	$744.34	$0.09 – $12,801

Last updated: Nov 4, 2025

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