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
immune globulin 10 human PF (GAMMAGARD LIQUID) 10
Ulm, MN
See all hospitals reporting RC 636 →Price type
Allina Health Systems’s median price of $93 is 58% above the median hospital's median price ($59), higher than 71% 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: 10 payers, 26 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 | UnitedHealthcare united healthcare (nr) facility · fee schedule · outpatient | $88.70 | $151.90 | $0.12 – $874.50 |
| 2 | Bcbs Mn bc pmap (n) facility · other · outpatient | $51.39 | $161.27 | $0.08 – $10,693 |
| 3 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $31.03 | $204.62 | $0.04 – $9,083 |
| 4 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $121.84 | $309.99 | $44.92 – $16,578 |
| 5 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $49.04 | $323.41 | $0.06 – $14,356 |
| 6 | Medicare medicare (n) facility · fee schedule · outpatient | $128.25 | $326.30 | $47.29 – $17,450 |
| 7 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $77.08 | $370.22 | $0.12 – $32,623 |
| 8 | Bcbs Mn bc premier(n) facility · other · outpatient | $58.00 | $415.70 | $0.09 – $41,915 |
| 9 | Medicaid medicaid ma (n) facility · other · outpatient | $67.50 | $445.19 | $0.09 – $19,761 |
| 10 | Medica medica medicare (r) facility · fee schedule · outpatient | $68.51 | $451.84 | $0.09 – $20,056 |
| 11 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $69.39 | $457.66 | $0.09 – $20,315 |
| 12 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $71.70 | $472.86 | $0.09 – $20,989 |
| 13 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $68.22 | $489.02 | $0.11 – $49,308 |
| 14 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $73.22 | $524.94 | $0.11 – $52,930 |
| 15 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $94.48 | $623.13 | $0.12 – $27,660 |
| 16 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $95.42 | $629.33 | $0.12 – $27,935 |
| 17 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $102.07 | $673.17 | $0.13 – $29,881 |
| 18 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $103.09 | $679.88 | $0.13 – $30,179 |
| 19 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $123.36 | $813.62 | $0.16 – $36,115 |
| 20 | Cigna hpi cigna (n) facility · other · outpatient | $126.10 | $831.59 | $0.16 – $36,918 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $129.53 | $854.30 | $0.17 – $37,921 |
| 22 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $129.53 | $854.30 | $0.17 – $37,921 |
| 23 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $129.53 | $854.30 | $0.17 – $37,921 |
| 24 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $130.43 | $860.20 | $0.17 – $38,183 |
| 25 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $131.74 | $868.84 | $0.17 – $38,566 |
Last updated: Jun 16, 2026
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