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
PEMETREXED ALIMTA/10MG 500MG PWIJ
Gilbert, AZ
See all hospitals reporting RC 636 →Price type
Banner Gateway Medical Center’s median price of $21 is 65% below the median hospital's median price ($59), higher than 19% 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: 8 payers, 37 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 medicare advantage facility · fee schedule · outpatient | $9.93 | $12.66 | $1.49 – $30.00 |
| 2 | Bcbs Az medicare advantage facility · fee schedule · outpatient | $9.93 | $12.66 | $1.49 – $30.00 |
| 3 | Cigna hmo medicare advantage plans facility · fee schedule · outpatient | $9.93 | $12.66 | $1.49 – $30.00 |
| 4 | Cigna ppo medicare advantage plan facility · fee schedule · outpatient | $9.93 | $12.66 | $1.49 – $30.00 |
| 5 | Kaiser medicare advantage facility · fee schedule · outpatient | $9.93 | $12.66 | $1.49 – $30.00 |
| 6 | UnitedHealthcare uhc medicare advantage facility · fee schedule · outpatient | $9.93 | $12.66 | $1.49 – $30.00 |
| 7 | Humana medicare advantage facility · fee schedule · outpatient | $10.05 | $12.85 | $1.49 – $30.90 |
| 8 | Devoted medicare advantage facility · fee schedule · outpatient | $10.43 | $13.29 | $1.56 – $31.50 |
| 9 | Aetna qualified health plan facility · fee schedule · outpatient | $13.51 | $17.22 | $2.03 – $40.80 |
| 10 | UnitedHealthcare individual exchange facility · fee schedule · outpatient | $13.90 | $17.73 | $2.09 – $42.00 |
| 11 | Oscar commercial facility · fee schedule · outpatient | $16.39 | $20.89 | $2.46 – $49.50 |
| 12 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.99 | $30.46 | $0.86 – $88.54 |
| 13 | Aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $2.53 | $38.69 | $1.09 – $112.44 |
| 14 | Cigna localflex facility · fee schedule · outpatient | $31.02 | $39.77 | $2.21 – $145.08 |
| 15 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $10.98 | $43.04 | $1.44 – $148.74 |
| 16 | Cigna commercial facility · fee schedule · outpatient | $34.47 | $44.20 | $2.46 – $161.21 |
| 17 | Aetna banner employee plans facility · fee schedule · outpatient | $36.01 | $45.83 | $1.84 – $111.32 |
| 18 | Aetna broad network facility · percent of total billed charges · inpatientfrom % of charges | $23.43 | $47.69 | $1.40 – $187.25 |
| 19 | Aetna designated group facility · percent of total billed charges · inpatientfrom % of charges | $23.43 | $47.69 | $1.40 – $187.25 |
| 20 | Aetna joint venture facility · percent of total billed charges · inpatientfrom % of charges | $23.43 | $47.69 | $1.40 – $187.25 |
| 21 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $48.16 | $48.16 | $25.59 – $70.73 |
| 22 | Aetna designated group facility · percent of total billed charges · outpatientfrom % of charges | $51.19 | $51.19 | $27.20 – $75.17 |
| 23 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $29.20 | $59.41 | $1.74 – $233.29 |
| 24 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $29.20 | $59.41 | $1.74 – $233.29 |
| 25 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $60.16 | $60.16 | $31.97 – $88.34 |
Last updated: May 1, 2026
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