RC 636

Skin graft, 10 inch by 4 inch matrix at Banner Thunderbird Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

IDURSULFASE/1MG 6MG/3ML SNIJ

Glendale, AZ

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How this price compares nationally

Banner Thunderbird Medical Center’s median price of $55 is 7% below the median hospital's median price ($59), higher than 47% of the 1,987 hospitals reporting RC 636. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 636 at Banner Thunderbird Medical Center

Negotiated rates from the hospital’s own file: 8 payers, 39 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	$15.84	$22.30	$0.15 – $64.33
2	Aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges	$20.12	$28.33	$0.19 – $81.70
3	Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges	$26.61	$37.47	$0.26 – $108.08
4	Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges	$39.60	$55.76	$0.38 – $160.84
5	Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges	$82.63	$82.63	$40.61 – $124.64
6	Aetna designated group facility · percent of total billed charges · outpatientfrom % of charges	$87.81	$87.81	$43.16 – $132.46
7	Aetna broad network facility · percent of total billed charges · inpatientfrom % of charges	$43.63	$100.46	$0.32 – $689.57
8	Aetna designated group facility · percent of total billed charges · inpatientfrom % of charges	$43.63	$100.46	$0.32 – $689.57
9	Aetna joint venture facility · percent of total billed charges · inpatientfrom % of charges	$43.63	$100.46	$0.32 – $689.57
10	Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges	$103.19	$103.19	$50.72 – $155.66
11	Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges	$54.36	$125.16	$0.40 – $859.12
12	Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges	$54.36	$125.16	$0.40 – $859.12
13	Aetna medicare advantage facility · fee schedule · outpatient	$47.46	$166.65	$13.12 – $558.56
14	Bcbs Az medicare advantage facility · fee schedule · outpatient	$47.46	$166.65	$13.12 – $558.56
15	Cigna hmo medicare advantage plan facility · fee schedule · outpatient	$47.46	$166.65	$13.12 – $558.56
16	Cigna ppo medicare advantage plan facility · fee schedule · outpatient	$47.46	$166.65	$13.12 – $558.56
17	Kaiser medicare advantage facility · fee schedule · outpatient	$47.46	$166.65	$13.12 – $558.56
18	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$47.46	$166.65	$13.12 – $558.56
19	Humana medicare advantage facility · fee schedule · outpatient	$48.88	$171.65	$13.51 – $575.32
20	Devoted medicare advantage facility · fee schedule · outpatient	$49.83	$174.98	$13.78 – $586.49
21	Cigna localflex facility · fee schedule · outpatient	$59.69	$216.26	$1.69 – $829.46
22	Aetna qualified health plan facility · fee schedule · outpatient	$64.55	$226.64	$17.84 – $759.64
23	Bcbs Az medicare supplemental senior preferred facility · fee schedule · outpatient	$77.14	$232.53	$1.31 – $1,077
24	UnitedHealthcare individual exchange facility · fee schedule · outpatient	$66.45	$233.31	$18.37 – $781.98
25	Aetna banner employee plans facility · fee schedule · outpatient	$59.22	$235.31	$27.93 – $794.86

Page 1 of 2 · 39 rates

Last updated: Mar 2, 2026

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