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
GADAVIST 1 MMOL-ML IV SOLN
Burlington, WI
See all hospitals reporting RC 636 →Price type
Aurora Medical Center Burlington’s median price of $5 is 92% below the median hospital's median price ($59), higher than 5% 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: 6 payers, 30 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 hmo fee schedule · outpatient | $0.59 | $19.30 | $0.01 – $280.37 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $5.11 | $20.17 | $0.14 – $172.22 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $5.11 | $20.17 | $0.14 – $172.22 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $5.11 | $20.17 | $0.14 – $172.22 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $5.11 | $20.17 | $0.14 – $172.22 |
| 6 | Anthem blue priority fee schedule · outpatient | $0.50 | $20.69 | $0.01 – $289.91 |
| 7 | Healthpartners employee trust fund fee schedule · outpatient | $0.67 | $23.07 | $0.01 – $327.16 |
| 8 | Healthpartners robin fee schedule · outpatient | $0.70 | $24.13 | $0.01 – $342.19 |
| 9 | Anthem blue preferred fee schedule · outpatient | $0.60 | $24.83 | $0.01 – $347.89 |
| 10 | Cigna ppo-gppo fee schedule · outpatient | $0.87 | $34.67 | $0.02 – $563.18 |
| 11 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $40.30 | $40.30 | $1.67 – $78.92 |
| 12 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $40.30 | $40.30 | $1.67 – $78.92 |
| 13 | Molina commercial fee schedule · outpatient | $1.41 | $48.25 | $0.02 – $684.10 |
| 14 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $50.38 | $50.38 | $2.09 – $98.66 |
| 15 | UnitedHealthcare charter fee schedule · outpatient | $23.07 | $57.27 | $0.12 – $280.37 |
| 16 | UnitedHealthcare exchange fee schedule · outpatient | $23.07 | $57.27 | $0.12 – $280.37 |
| 17 | UnitedHealthcare hmo fee schedule · outpatient | $23.07 | $57.27 | $0.12 – $280.37 |
| 18 | UnitedHealthcare nexus fee schedule · outpatient | $23.07 | $57.27 | $0.12 – $280.37 |
| 19 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $78.92 | $78.92 | $78.92 – $78.92 |
| 20 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $85.50 | $85.50 | $85.50 – $85.50 |
| 21 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $16.20 | $99.88 | $0.17 – $1,362 |
| 22 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $16.20 | $99.88 | $0.17 – $1,362 |
| 23 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $17.84 | $110.00 | $0.19 – $1,500 |
| 24 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $17.84 | $110.00 | $0.19 – $1,500 |
| 25 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $18.19 | $112.13 | $0.19 – $1,529 |
Last updated: Nov 21, 2025
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