RC 636
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
Epifix Tissue Matrix Allograft
Tulsa, OK
See all hospitals reporting RC 636 →Price type
AHS Southcrest Hospital, LLC’s median price of $70 is 18% above the median hospital's median price ($59), higher than 56% of the 1,987 hospitals reporting RC 636. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 24 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges | $15.94 | $67.77 | $0.86 – $3,861 |
| 2 | Aetna aetna nnj prime hmo [102003] facility · percent of total billed charges · bothfrom % of charges | $71.20 | $71.20 | $30.76 – $111.63 |
| 3 | Blue Cross Blue Shield blue cross cherokee mlr of oklahoma [115509] facility · percent of total billed charges · bothfrom % of charges | $71.20 | $71.20 | $30.76 – $111.63 |
| 4 | Blue Cross Blue Shield blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges | $71.20 | $71.20 | $30.76 – $111.63 |
| 5 | Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges | $71.20 | $71.20 | $30.76 – $111.63 |
| 6 | Humana humana choicecare [214003] facility · percent of total billed charges · bothfrom % of charges | $71.20 | $71.20 | $30.76 – $111.63 |
| 7 | Molina molina medicare advantage [167500] facility · percent of total billed charges · bothfrom % of charges | $71.20 | $71.20 | $30.76 – $111.63 |
| 8 | Optum va ccn optum [392000] facility · percent of total billed charges · bothfrom % of charges | $71.20 | $71.20 | $30.76 – $111.63 |
| 9 | UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges | $72.63 | $72.63 | $31.38 – $113.87 |
| 10 | Blue Cross Blue Shield bcbs of ok native blue [115569] facility · percent of total billed charges · bothfrom % of charges | $73.33 | $73.33 | $31.68 – $114.98 |
| 11 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $38.45 | $200.61 | $1.93 – $8,618 |
| 12 | Oscar oscar insurance company [700500] facility · percent of total billed charges · bothfrom % of charges | $38.45 | $200.61 | $1.93 – $8,618 |
| 13 | Devoted devoted health inc [709500] facility · percent of total billed charges · bothfrom % of charges | $34.76 | $201.50 | $8.81 – $811.69 |
| 14 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $61.69 | $260.90 | $3.32 – $14,823 |
| 15 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $61.69 | $260.90 | $3.32 – $14,823 |
| 16 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $61.69 | $260.90 | $3.32 – $14,823 |
| 17 | Healthcare Highways taro health plan [221010] facility · percent of total billed charges · bothfrom % of charges | $61.69 | $260.90 | $3.32 – $14,823 |
| 18 | Aetna meritain aetna ardent employee [368502] facility · percent of total billed charges · bothfrom % of charges | $67.52 | $338.37 | $3.38 – $15,133 |
| 19 | Medica medica quest [291001] facility · percent of total billed charges · bothfrom % of charges | $84.50 | $357.11 | $4.54 – $20,304 |
| 20 | MultiPlan providence health plan [168004] facility · percent of total billed charges · bothfrom % of charges | $84.50 | $357.11 | $4.54 – $20,304 |
| 21 | Aetna aetna aco wilco [101532] facility · percent of total billed charges · bothfrom % of charges | $67.52 | $414.06 | $3.38 – $15,133 |
| 22 | Phcs lifestyle health plans [178013] facility · percent of total billed charges · bothfrom % of charges | $107.60 | $454.72 | $5.78 – $25,854 |
| 23 | MultiPlan ihc hs [168011] facility · percent of total billed charges · bothfrom % of charges | $114.77 | $485.04 | $6.17 – $27,577 |
| 24 | Phcs group health cooperative scw [178012] facility · percent of total billed charges · bothfrom % of charges | $114.77 | $485.04 | $6.17 – $27,577 |
Last updated: Mar 31, 2026
See Skin graft, 10 inch by 4 inch matrix pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.