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
DALBAVANCIN HCL/5MG 500MG/25ML PWIJ
Tucson, AZ
See all hospitals reporting RC 636 →Price type
Banner University Med Center South’s median price of $6 is 90% below the median hospital's median price ($59), higher than 6% 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, 32 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 | $0.30 | $0.30 | $0.10 – $0.50 |
| 2 | Aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $0.36 | $0.36 | $0.12 – $0.60 |
| 3 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $0.49 | $0.49 | $0.16 – $0.81 |
| 4 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $0.75 | $0.75 | $0.24 – $1.25 |
| 5 | Aetna broad network facility · percent of total billed charges · inpatientfrom % of charges | $1.06 | $7.30 | $0.20 – $20.64 |
| 6 | Aetna designated group facility · percent of total billed charges · inpatientfrom % of charges | $1.06 | $7.30 | $0.20 – $20.64 |
| 7 | Aetna joint venture facility · percent of total billed charges · inpatientfrom % of charges | $1.06 | $7.30 | $0.20 – $20.64 |
| 8 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $1.32 | $9.10 | $0.25 – $25.72 |
| 9 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1.32 | $9.10 | $0.25 – $25.72 |
| 10 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · fee schedule · outpatient | $6.15 | $10.62 | $0.05 – $25.66 |
| 11 | Aetna broad network facility · fee schedule · outpatient | $10.54 | $13.93 | $0.06 – $31.20 |
| 12 | Aetna designated group facility · fee schedule · outpatient | $10.54 | $13.93 | $0.06 – $31.20 |
| 13 | Aetna joint venture facility · fee schedule · outpatient | $10.54 | $13.93 | $0.06 – $31.20 |
| 14 | Aetna medicare advantage facility · fee schedule · outpatient | $15.55 | $15.55 | $15.55 – $15.55 |
| 15 | Bcbs Az medicare advantage facility · fee schedule · outpatient | $15.55 | $15.55 | $15.55 – $15.55 |
| 16 | Cigna hmo medicare advantage plan facility · fee schedule · outpatient | $15.55 | $15.55 | $15.55 – $15.55 |
| 17 | Cigna ppo medicare advantage plan facility · fee schedule · outpatient | $15.55 | $15.55 | $15.55 – $15.55 |
| 18 | Kaiser medicare advantage facility · fee schedule · outpatient | $15.55 | $15.55 | $15.55 – $15.55 |
| 19 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $15.55 | $15.55 | $15.55 – $15.55 |
| 20 | Humana medicare advantage facility · fee schedule · outpatient | $16.02 | $16.02 | $16.02 – $16.02 |
| 21 | Devoted medicare advantage facility · fee schedule · outpatient | $16.33 | $16.33 | $16.33 – $16.33 |
| 22 | Aetna qualified health plan facility · fee schedule · outpatient | $21.15 | $21.15 | $21.15 – $21.15 |
| 23 | Aetna banner employee plans facility · fee schedule · outpatient | $21.37 | $21.37 | $21.37 – $21.37 |
| 24 | Bcbs Az medicare supplemental senior preferred facility · fee schedule · outpatient | $16.17 | $21.39 | $0.11 – $47.89 |
| 25 | UnitedHealthcare individual exchange facility · fee schedule · outpatient | $21.77 | $21.77 | $21.77 – $21.77 |
Last updated: Mar 2, 2026
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