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
DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION *BAG*
Amarillo, TX
See all hospitals reporting RC 636 →Price type
BSA Hospital’s median price of $195 is 231% above the median hospital's median price ($59), higher than 91% 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: 14 payers, 45 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 | Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges | $93.94 | $208.99 | $65.04 – $467.98 |
| 2 | Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges | $93.94 | $208.99 | $65.04 – $467.98 |
| 3 | Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges | $93.94 | $208.99 | $65.04 – $467.98 |
| 4 | Medicare rehab medicare [163504] facility · percent of total billed charges · bothfrom % of charges | $93.94 | $208.99 | $65.04 – $467.98 |
| 5 | UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges | $93.94 | $208.99 | $65.04 – $467.98 |
| 6 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $25.94 | $245.48 | $0.09 – $15,561 |
| 7 | Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges | $25.94 | $245.48 | $0.09 – $15,561 |
| 8 | Blue Cross Blue Shield blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges | $266.51 | $266.51 | $65.04 – $467.98 |
| 9 | Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges | $266.51 | $266.51 | $65.04 – $467.98 |
| 10 | Cigna cigna medicare supplement [126012] facility · percent of total billed charges · bothfrom % of charges | $266.51 | $266.51 | $65.04 – $467.98 |
| 11 | Humana humana choicecare [214003] facility · percent of total billed charges · bothfrom % of charges | $266.51 | $266.51 | $65.04 – $467.98 |
| 12 | Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges | $266.51 | $266.51 | $65.04 – $467.98 |
| 13 | Humana humana medicare supplement [214002] facility · percent of total billed charges · bothfrom % of charges | $266.51 | $266.51 | $65.04 – $467.98 |
| 14 | Molina molina medicare advantage [167500] facility · percent of total billed charges · bothfrom % of charges | $266.51 | $266.51 | $65.04 – $467.98 |
| 15 | Ucare ucare medicare [283001] facility · percent of total billed charges · bothfrom % of charges | $266.51 | $266.51 | $65.04 – $467.98 |
| 16 | UnitedHealthcare care improvement plus uhc [206002] facility · percent of total billed charges · bothfrom % of charges | $152.66 | $339.61 | $105.70 – $760.46 |
| 17 | Aetna aetna nnj prime hmo [102003] facility · percent of total billed charges · bothfrom % of charges | $155.71 | $346.40 | $107.81 – $775.67 |
| 18 | Aetna aetna supplement [101514] facility · percent of total billed charges · bothfrom % of charges | $155.71 | $346.40 | $107.81 – $775.67 |
| 19 | UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges | $187.88 | $417.98 | $130.09 – $935.96 |
| 20 | UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges | $118.60 | $1,122 | $0.43 – $71,153 |
| 21 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $163.02 | $1,307 | $0.39 – $64,835 |
| 22 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $163.02 | $1,307 | $0.39 – $64,835 |
| 23 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $163.02 | $1,307 | $0.39 – $64,835 |
| 24 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $163.02 | $1,307 | $0.39 – $64,835 |
| 25 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $163.02 | $1,307 | $0.39 – $64,835 |
Last updated: Feb 12, 2026
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