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
ALBUMN HUM 5%/250ML 25GM/500ML IV
Mesa, AZ
See all hospitals reporting RC 636 →Price type
Banner Heart Hospital’s median price of $9 is 84% below the median hospital's median price ($59), higher than 10% 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, 34 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 · percent of total billed charges · outpatientfrom % of charges | $1.20 | $1.20 | $1.20 – $1.20 |
| 2 | Aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $1.52 | $1.52 | $1.52 – $1.52 |
| 3 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $2.02 | $2.02 | $2.02 – $2.02 |
| 4 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.00 | $3.00 | $3.00 – $3.00 |
| 5 | Cigna localflex facility · fee schedule · outpatient | $4.46 | $25.19 | $0.58 – $70.52 |
| 6 | Cigna commercial facility · fee schedule · outpatient | $4.95 | $27.98 | $0.64 – $78.36 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $28.04 | $28.04 | $3.00 – $53.08 |
| 8 | Bcbs Az medicare advantage facility · fee schedule · outpatient | $28.04 | $28.04 | $3.00 – $53.08 |
| 9 | Cigna hmo medicare advantage plans facility · fee schedule · outpatient | $28.04 | $28.04 | $3.00 – $53.08 |
| 10 | Cigna ppo medicare advantage plan facility · fee schedule · outpatient | $28.04 | $28.04 | $3.00 – $53.08 |
| 11 | Kaiser medicare advantage facility · fee schedule · outpatient | $28.04 | $28.04 | $3.00 – $53.08 |
| 12 | UnitedHealthcare uhc medicare advantage facility · fee schedule · outpatient | $28.04 | $28.04 | $3.00 – $53.08 |
| 13 | Humana medicare advantage facility · fee schedule · outpatient | $28.09 | $28.46 | $3.00 – $54.67 |
| 14 | Aetna broad network facility · percent of total billed charges · inpatientfrom % of charges | $9.48 | $28.54 | $2.54 – $73.60 |
| 15 | Aetna designated group facility · percent of total billed charges · inpatientfrom % of charges | $9.48 | $28.54 | $2.54 – $73.60 |
| 16 | Aetna joint venture facility · percent of total billed charges · inpatientfrom % of charges | $9.48 | $28.54 | $2.54 – $73.60 |
| 17 | Devoted medicare advantage facility · fee schedule · outpatient | $29.44 | $29.44 | $3.15 – $55.73 |
| 18 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $11.80 | $35.55 | $3.16 – $91.70 |
| 19 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $11.80 | $35.55 | $3.16 – $91.70 |
| 20 | Aetna broad network facility · fee schedule · outpatient | $5.94 | $37.56 | $0.58 – $106.16 |
| 21 | Aetna designated group facility · fee schedule · outpatient | $5.94 | $37.56 | $0.58 – $106.16 |
| 22 | Aetna joint venture facility · fee schedule · outpatient | $5.94 | $37.56 | $0.58 – $106.16 |
| 23 | Aetna qualified health plan facility · fee schedule · outpatient | $38.14 | $38.14 | $4.08 – $72.19 |
| 24 | UnitedHealthcare individual exchange facility · fee schedule · outpatient | $39.26 | $39.26 | $4.20 – $74.31 |
| 25 | Aetna banner employee plans facility · fee schedule · outpatient | $40.66 | $40.66 | $4.52 – $76.79 |
Last updated: Mar 2, 2026
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