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
GAMMAGARD LIQ 500 MGI
Smithville, TX
See all hospitals reporting RC 636 →Price type
Ascension Seton’s median price of $24 is 59% below the median hospital's median price ($59), higher than 22% 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: 14 payers, 149 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 4174_blue cross chip (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $5.06 | $1,956 | $0.02 – $196,988 |
| 2 | Blue Cross Blue Shield 5015_blue cross star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $5.06 | $1,956 | $0.02 – $196,988 |
| 3 | UnitedHealthcare 4259_chirp uhc star (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $5.06 | $1,956 | $0.02 – $196,988 |
| 4 | UnitedHealthcare 4270_chirp uhc star plus (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $5.06 | $1,956 | $0.02 – $196,988 |
| 5 | UnitedHealthcare 4317_uhc star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $5.06 | $1,956 | $0.02 – $196,988 |
| 6 | Blue Cross Blue Shield 4174_blue cross chip/star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $5.04 | $1,970 | $0.02 – $196,988 |
| 7 | Blue Cross Blue Shield 4225_chirp blue cross star (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $5.04 | $1,970 | $0.02 – $196,988 |
| 8 | Aetna 4658_medicare advantage aetna (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $6.19 | $2,391 | $0.03 – $240,763 |
| 9 | Devoted 4920_medicare advantage devoted health smv 20250811 percent of total billed charges · inpatientfrom % of charges | $6.19 | $2,391 | $0.03 – $240,763 |
| 10 | Humana 4663_medicare advantage humana (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $6.19 | $2,391 | $0.03 – $240,763 |
| 11 | Tricare 4964_tricare smv 20280811 percent of total billed charges · outpatientfrom % of charges | $6.19 | $2,391 | $0.03 – $240,763 |
| 12 | UnitedHealthcare 3743_chirp uhc star (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $6.19 | $2,391 | $0.03 – $240,763 |
| 13 | UnitedHealthcare 3754_chirp uhc star plus (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $6.19 | $2,391 | $0.03 – $240,763 |
| 14 | UnitedHealthcare 4328_uhc star kids (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $6.19 | $2,391 | $0.03 – $240,763 |
| 15 | UnitedHealthcare 4689_medicare advantage united healthcare (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $6.19 | $2,391 | $0.03 – $240,763 |
| 16 | WellCare 4690_medicare advantage wellcare (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $6.19 | $2,391 | $0.03 – $240,763 |
| 17 | Blue Cross Blue Shield 3600_blue cross chip/star kids (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $6.16 | $2,408 | $0.03 – $240,763 |
| 18 | Blue Cross Blue Shield 3699_chirp blue cross star (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $6.16 | $2,408 | $0.03 – $240,763 |
| 19 | Aetna 4488_aetna ppo 20250801 percent of total billed charges · outpatientfrom % of charges | $8.44 | $2,424 | $0.04 – $306,425 |
| 20 | Aetna 4493_aetna ppo (smv) 20250801 percent of total billed charges · outpatientfrom % of charges | $7.55 | $2,463 | $0.04 – $306,425 |
| 21 | Aetna 4489_aetna aco hmo 20250801 percent of total billed charges · inpatientfrom % of charges | $7.88 | $3,043 | $0.04 – $306,425 |
| 22 | Aetna 4490_aetna multi-tier whole health sha 20250801 percent of total billed charges · inpatientfrom % of charges | $7.88 | $3,043 | $0.04 – $306,425 |
| 23 | Aetna 4492_aetna hmo (smv) 20250801 percent of total billed charges · outpatientfrom % of charges | $7.88 | $3,043 | $0.04 – $306,425 |
| 24 | Aetna 4496_aetna multi-tier whole health (smv) 20250801 percent of total billed charges · outpatientfrom % of charges | $7.88 | $3,043 | $0.04 – $306,425 |
| 25 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $7.88 | $3,043 | $0.04 – $306,425 |
Last updated: Jan 1, 2026
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