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
HC Shell Q4433, 361 Hct/P Skin Substitute Product, Not Otherwise Specified
Fort Worth, TX
See all hospitals reporting RC 636 →Price type
Baylor Scott & White All Saints Medical Center - Fort Worth’s median price of $80 is 36% above the median hospital's median price ($59), higher than 62% 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: 9 payers, 43 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna commercial facility · fee schedule · inpatient | $2.19 | $137.70 | $0.06 – $7,681 |
| 2 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $209.66 | $190.77 | $11.17 – $341.31 |
| 3 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · inpatient | $6.91 | $222.44 | $0.01 – $57,845 |
| 4 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $6.91 | $222.44 | $0.01 – $57,845 |
| 5 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $118.76 | $222.93 | $0.03 – $53,456 |
| 6 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · inpatient | $7.18 | $231.11 | $0.01 – $60,098 |
| 7 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $7.18 | $231.11 | $0.01 – $60,098 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $125.01 | $234.66 | $0.03 – $56,269 |
| 9 | Humana medicare facility · fee schedule · outpatient | $125.01 | $234.66 | $0.03 – $56,269 |
| 10 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $131.26 | $246.39 | $0.03 – $59,083 |
| 11 | Superior Healthplan medicare facility · fee schedule · outpatient | $131.26 | $246.39 | $0.03 – $59,083 |
| 12 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $140.01 | $262.82 | $0.03 – $63,021 |
| 13 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $295.68 | $269.04 | $15.75 – $481.34 |
| 14 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $150.01 | $281.59 | $0.04 – $67,523 |
| 15 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $156.89 | $294.50 | $0.04 – $70,618 |
| 16 | Blue Cross Blue Shield city of dallas facility · fee schedule · outpatient | $397.82 | $361.98 | $21.19 – $647.62 |
| 17 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $22.62 | $367.72 | — – $30,049 |
| 18 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $34.85 | $370.24 | $0.01 – $65,707 |
| 19 | Aetna medicaid facility · percent of total billed charges · outpatientfrom % of charges | $23.07 | $375.07 | — – $30,650 |
| 20 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $420.67 | $382.77 | $22.41 – $684.81 |
| 21 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $206.27 | $387.19 | $0.05 – $92,844 |
| 22 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $24.20 | $393.46 | — – $32,153 |
| 23 | Ambetter ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $37.75 | $401.09 | $0.01 – $71,183 |
| 24 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $442.18 | $402.34 | $23.56 – $719.82 |
| 25 | Ambetter ambetter exchange facility · fee schedule · outpatient | $268.77 | $504.52 | $0.06 – $120,979 |
Last updated: Jun 29, 2026
See Skin graft, 10 inch by 4 inch matrix pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.