RC 636

Skin graft, 10 inch by 4 inch matrix at AMH Cath Labs LLC

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

FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN [14492]

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $94 is 59% 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.

Payers reporting RC 636 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 39 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	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$16.89	$223.01	$0.09 – $13,919
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$16.89	$223.01	$0.09 – $13,919
3	Blue Cross Blue Shield medicare advantage case rate · outpatient	$125.22	$225.78	$0.28 – $45,021
4	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$17.74	$234.28	$0.09 – $14,623
5	Humana medicare advantage case rate · outpatient	$130.23	$234.81	$0.29 – $46,821
6	Humana medicare advantage ppo case rate · outpatient	$130.23	$234.81	$0.29 – $46,821
7	Molina medicare advantage case rate · outpatient	$131.48	$237.06	$0.29 – $47,272
8	WellCare medicare advantage hmo case rate · outpatient	$131.48	$237.06	$0.29 – $47,272
9	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$18.23	$240.80	$0.10 – $15,030
10	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$18.58	$245.31	$0.10 – $15,311
11	WellCare medicare advantage mmp case rate · outpatient	$137.74	$248.35	$0.31 – $49,523
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$138.99	$250.61	$0.31 – $49,973
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$141.50	$255.13	$0.32 – $50,873
14	Blue Cross Blue Shield hmo fee schedule · outpatient	$6.34	$306.23	$0.02 – $78,191
15	Blue Cross Blue Shield exchange fee schedule · outpatient	$6.50	$313.82	$0.02 – $80,176
16	Blue Cross Blue Shield ppo fee schedule · outpatient	$6.99	$339.62	$0.02 – $86,895
17	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$67.99	$567.76	$0.52 – $80,888
18	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$72.03	$601.58	$0.55 – $85,705
19	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$132.69	$675.95	$1.02 – $37,086
20	UnitedHealthcare all payer fee schedule · outpatient	$125.88	$774.23	$0.16 – $17,755
21	UnitedHealthcare ppo fee schedule · outpatient	$125.88	$774.23	$0.16 – $17,755
22	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$65.61	$866.46	$0.35 – $54,082
23	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$77.91	$1,040	$0.41 – $66,422
24	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$211.39	$1,077	$1.62 – $59,082
25	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$87.47	$1,155	$0.46 – $72,099

Page 1 of 2 · 39 rates

Last updated: Apr 21, 2026

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