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
IMMUNE GLOBULIN, GAMMA (IGG) (10 %)-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION
West Des Moines, IA
See all hospitals reporting RC 636 →Price type
Catholic Health Initiatives-Iowa Corp’s median price of $74 is 26% above the median hospital's median price ($59), higher than 59% 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: 17 payers, 29 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 | Wellmark wellmark medicare advantage facility · percent of total billed charges · bothfrom % of charges | $69.24 | $125.02 | $13.94 – $393.26 |
| 2 | Molina molina medicaid facility · percent of total billed charges · bothfrom % of charges | $32.66 | $127.89 | $0.08 – $16,549 |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $71.36 | $128.84 | $14.36 – $405.27 |
| 4 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $42.67 | $172.97 | $0.09 – $20,084 |
| 5 | Aetna aetna medicare advantage facility · other · both | $46.44 | $180.62 | $0.24 – $4,909 |
| 6 | Wellmark wellmark medicare advantage facility · other · both | $46.90 | $182.43 | $0.25 – $4,958 |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $47.37 | $184.23 | $0.25 – $5,008 |
| 8 | Molina molina medicaid facility · other · both | $74.78 | $211.82 | $0.76 – $4,980 |
| 9 | Ambetter ambetter marketplace facility · percent of total billed charges · bothfrom % of charges | $140.45 | $218.47 | $23.65 – $667.50 |
| 10 | Oscar oscar facility · percent of total billed charges · bothfrom % of charges | $56.09 | $229.98 | $0.12 – $27,114 |
| 11 | Oscar oscar facility · other · both | $67.33 | $261.90 | $0.35 – $7,119 |
| 12 | Ambetter ambetter marketplace facility · other · both | $79.61 | $309.64 | $0.42 – $8,416 |
| 13 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $76.32 | $369.06 | $0.03 – $50,210 |
| 14 | Molina molina medicaid facility · fee schedule · both | $128.59 | $429.52 | $19.11 – $13,831 |
| 15 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $71.92 | $1,676 | $0.02 – $158,008 |
| 16 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $71.92 | $1,676 | $0.02 – $158,008 |
| 17 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $71.92 | $1,676 | $0.02 – $158,008 |
| 18 | Anthem wellmark ppo facility · fee schedule · both | $64.36 | $2,272 | $0.02 – $146,299 |
| 19 | Blue Cross Blue Shield wellmark ppo facility · fee schedule · both | $64.36 | $2,272 | $0.02 – $146,299 |
| 20 | Carefirst wellmark ppo facility · fee schedule · both | $64.36 | $2,272 | $0.02 – $146,299 |
| 21 | Excellus wellmark ppo facility · fee schedule · both | $64.36 | $2,272 | $0.02 – $146,299 |
| 22 | Highmark wellmark ppo facility · fee schedule · both | $64.36 | $2,272 | $0.02 – $146,299 |
| 23 | Premera wellmark ppo facility · fee schedule · both | $64.36 | $2,272 | $0.02 – $146,299 |
| 24 | Regence wellmark ppo facility · fee schedule · both | $64.36 | $2,272 | $0.02 – $146,299 |
| 25 | Wellmark wellmark ppo facility · fee schedule · both | $64.36 | $2,272 | $0.02 – $146,299 |
Last updated: Mar 31, 2026
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