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
TENECTEPLASE/1MG 50MG/10ML PWIJ
Apache Junction, AZ
See all hospitals reporting RC 636 →Price type
Banner Goldfield Medical Center’s median price of $215 is 265% above the median hospital's median price ($59), higher than 92% 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, 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 medicare advantage facility · fee schedule · outpatient | $192.07 | $192.07 | $171.94 – $212.20 |
| 2 | Bcbs Az medicare advantage facility · fee schedule · outpatient | $192.07 | $192.07 | $171.94 – $212.20 |
| 3 | Cigna hmo medicare advantage plans facility · fee schedule · outpatient | $192.07 | $192.07 | $171.94 – $212.20 |
| 4 | Cigna ppo medicare advantage plan facility · fee schedule · outpatient | $192.07 | $192.07 | $171.94 – $212.20 |
| 5 | Kaiser medicare advantage facility · fee schedule · outpatient | $192.07 | $192.07 | $171.94 – $212.20 |
| 6 | UnitedHealthcare uhc medicare advantage facility · fee schedule · outpatient | $192.07 | $192.07 | $171.94 – $212.20 |
| 7 | Humana medicare advantage facility · fee schedule · outpatient | $194.65 | $194.95 | $171.94 – $218.57 |
| 8 | Devoted medicare advantage facility · fee schedule · outpatient | $201.68 | $201.68 | $180.54 – $222.81 |
| 9 | Aetna broad network facility · percent of total billed charges · inpatientfrom % of charges | $218.19 | $218.19 | $168.78 – $267.59 |
| 10 | Aetna designated group facility · percent of total billed charges · inpatientfrom % of charges | $218.19 | $218.19 | $168.78 – $267.59 |
| 11 | Aetna joint venture facility · percent of total billed charges · inpatientfrom % of charges | $218.19 | $218.19 | $168.78 – $267.59 |
| 12 | Aetna banner employee plans facility · fee schedule · outpatient | $249.74 | $249.74 | $197.08 – $302.40 |
| 13 | Aetna qualified health plan facility · fee schedule · outpatient | $261.22 | $261.22 | $233.84 – $288.59 |
| 14 | UnitedHealthcare individual exchange facility · fee schedule · outpatient | $268.90 | $268.90 | $240.72 – $297.08 |
| 15 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $271.83 | $271.83 | $210.27 – $333.38 |
| 16 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $271.83 | $271.83 | $210.27 – $333.38 |
| 17 | Cigna localflex facility · fee schedule · outpatient | $285.23 | $285.23 | $255.33 – $315.12 |
| 18 | Oscar commercial facility · fee schedule · outpatient | $288.11 | $288.11 | $257.91 – $318.30 |
| 19 | Cigna commercial facility · fee schedule · outpatient | $316.92 | $316.92 | $283.70 – $350.13 |
| 20 | Aetna broad network facility · fee schedule · outpatient | $380.80 | $380.80 | $324.86 – $436.74 |
| 21 | Aetna designated group facility · fee schedule · outpatient | $380.80 | $380.80 | $324.86 – $436.74 |
| 22 | Aetna joint venture facility · fee schedule · outpatient | $380.80 | $380.80 | $324.86 – $436.74 |
| 23 | UnitedHealthcare uhc doctor's plan facility · fee schedule · outpatient | $428.41 | $428.41 | $365.48 – $491.34 |
| 24 | UnitedHealthcare uhc core facility · fee schedule · outpatient | $469.32 | $469.32 | $400.38 – $538.26 |
| 25 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $608.36 | $608.36 | $523.80 – $692.91 |
Last updated: Mar 2, 2026
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