RC 636

Skin graft, 10 inch by 4 inch matrix at Central Iowa Hospital Corporation

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

KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN

Des Moines, IA

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Pricing by billing methodology

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How this price compares nationally

Central Iowa Hospital Corporation’s median price of $3 is 94% below the median hospital's median price ($59), higher than 3% 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 Central Iowa Hospital Corporation

Negotiated rates from the hospital’s own file: 6 payers, 15 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 hmo percent of total billed charges · outpatientfrom % of charges	$5.02	$36.69	$0.01 – $38,704
2	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$5.02	$36.69	$0.01 – $38,704
3	Medica commercial percent of total billed charges · outpatientfrom % of charges	$3.68	$54.03	$0.01 – $29,533
4	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$5.72	$84.16	$0.01 – $43,495
5	Cigna commercial percent of total billed charges · inpatientfrom % of charges	$5.71	$84.40	$0.01 – $43,495
6	Wellmark commercial fee schedule · outpatient	$0.84	$123.03	$0.01 – $65,822
7	Wellmark hmo fee schedule · outpatient	$0.84	$123.03	$0.01 – $65,822
8	Wellmark ppo fee schedule · outpatient	$0.84	$123.03	$0.01 – $65,822
9	UnitedHealthcare hmo fee schedule · outpatient	$15.91	$355.93	$0.03 – $45,212
10	UnitedHealthcare ppo fee schedule · outpatient	$15.91	$355.93	$0.03 – $45,212
11	Aetna medicare advantage case rate · outpatient	$20.07	$381.63	$0.01 – $46,472
12	Molina medicare advantage case rate · outpatient	$20.07	$381.63	$0.01 – $46,472
13	UnitedHealthcare medicare advantage case rate · outpatient	$20.66	$392.85	$0.01 – $47,838
14	Aetna hmo fee schedule · outpatient	$28.51	$716.48	$0.01 – $90,424
15	Aetna ppo fee schedule · outpatient	$28.51	$716.48	$0.01 – $90,424

Last updated: Jan 28, 2026

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