RC 636

Skin graft, 10 inch by 4 inch matrix at Athens Hospital, 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

DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION *BAG*

Athens, TX

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Pricing by billing methodology

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How this price compares nationally

Athens Hospital, LLC’s median price of $56 is 5% below the median hospital's median price ($59), higher than 48% 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 Athens Hospital, LLC

Negotiated rates from the hospital’s own file: 9 payers, 28 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	Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges	$256.33	$367.38	$101.21 – $1,061
2	Blue Cross Blue Shield blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges	$256.33	$367.38	$101.21 – $1,061
3	Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges	$256.33	$367.38	$101.21 – $1,061
4	Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges	$256.33	$367.38	$101.21 – $1,061
5	Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges	$256.33	$367.38	$101.21 – $1,061
6	Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges	$256.33	$367.38	$101.21 – $1,061
7	Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges	$256.33	$367.38	$101.21 – $1,061
8	UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges	$256.33	$367.38	$101.21 – $1,061
9	WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges	$256.33	$367.38	$101.21 – $1,061
10	UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges	$371.68	$532.70	$146.76 – $1,539
11	Blue Cross Blue Shield blue cross hmo of texas [115504] facility · percent of total billed charges · bothfrom % of charges	$547.77	$547.77	$547.77 – $547.77
12	Blue Cross Blue Shield blue cross advantage hmo of texas [115525] facility · percent of total billed charges · bothfrom % of charges	$640.64	$640.64	$640.64 – $640.64
13	Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges	$32.17	$680.05	$0.65 – $40,766
14	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$32.17	$680.05	$0.65 – $40,766
15	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$32.17	$680.05	$0.65 – $40,766
16	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$39.71	$849.59	$0.53 – $33,510
17	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$39.71	$849.59	$0.53 – $33,510
18	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$39.71	$849.59	$0.53 – $33,510
19	Blue Cross Blue Shield blue cross preferred ppo of texas [115526] facility · percent of total billed charges · bothfrom % of charges	$968.54	$968.54	$968.54 – $968.54
20	Blue Cross Blue Shield blue cross traditional of texas [115503] facility · percent of total billed charges · bothfrom % of charges	$968.54	$968.54	$968.54 – $968.54
21	Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges	$58.09	$1,251	$1.19 – $74,795
22	Aetna aetna [101529] facility · percent of total billed charges · bothfrom % of charges	$66.41	$1,404	$1.34 – $84,178
23	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$66.41	$1,404	$1.34 – $84,178
24	UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges	$78.62	$1,682	$1.05 – $66,350
25	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$78.62	$1,682	$1.05 – $66,350

Page 1 of 2 · 28 rates

Last updated: Mar 31, 2026

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