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
AMPHO B LIPID/10MG 100MG/20ML IJ
Scottsdale, AZ
See all hospitals reporting RC 636 →Price type
Banner Behavioral Health Hospital’s median price of $10 is 83% below the median hospital's median price ($59), higher than 11% 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: 4 payers, 18 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna medicare advantage facility · fee schedule · outpatient | $7.40 | $7.40 | $4.49 – $10.30 |
| 2 | Bcbs Az medicare advantage facility · fee schedule · outpatient | $7.40 | $7.40 | $4.49 – $10.30 |
| 3 | Kaiser medicare advantage facility · fee schedule · outpatient | $7.40 | $7.40 | $4.49 – $10.30 |
| 4 | Devoted medicare advantage facility · fee schedule · outpatient | $7.76 | $7.76 | $4.71 – $10.81 |
| 5 | Aetna qualified health plan facility · fee schedule · outpatient | $10.06 | $10.06 | $6.11 – $14.01 |
| 6 | Aetna broad network facility · percent of total billed charges · inpatientfrom % of charges | $11.61 | $11.61 | $5.38 – $17.84 |
| 7 | Aetna designated group facility · percent of total billed charges · inpatientfrom % of charges | $11.61 | $11.61 | $5.38 – $17.84 |
| 8 | Aetna joint venture facility · percent of total billed charges · inpatientfrom % of charges | $11.61 | $11.61 | $5.38 – $17.84 |
| 9 | Aetna banner employee plans facility · fee schedule · outpatient | $11.62 | $11.62 | $9.19 – $14.05 |
| 10 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $11.90 | $11.90 | $6.17 – $17.62 |
| 11 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $12.69 | $12.69 | $6.58 – $18.80 |
| 12 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $13.33 | $13.33 | $6.91 – $19.74 |
| 13 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $14.89 | $14.89 | $6.90 – $22.87 |
| 14 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $14.89 | $14.89 | $6.90 – $22.87 |
| 15 | Bcbs Az medicare supplemental senior preferred facility · fee schedule · outpatient | $14.94 | $14.94 | $7.75 – $22.12 |
| 16 | Aetna broad network facility · fee schedule · outpatient | $16.50 | $16.50 | $7.80 – $25.20 |
| 17 | Aetna designated group facility · fee schedule · outpatient | $16.50 | $16.50 | $7.80 – $25.20 |
| 18 | Aetna joint venture facility · fee schedule · outpatient | $16.50 | $16.50 | $7.80 – $25.20 |
Last updated: Mar 2, 2026
See Skin graft, 10 inch by 4 inch matrix pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.