RC 636

Skin graft, 10 inch by 4 inch matrix at Children's National Hospital

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ampicillin-sulbactam (Unasyn) 15 gm INJ Powder

Washington, DC

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Pricing by billing methodology

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How this price compares nationally

Children's National Hospital’s median price of $9 is 84% below the median hospital's median price ($59), higher than 10% 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 Children's National Hospital

Negotiated rates from the hospital’s own file: 7 payers, 38 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	Anthem hmo facility · percent of total billed charges · outpatientfrom % of charges	$9.77	$150.63	$0.01 – $18,581
2	Anthem hmx facility · percent of total billed charges · outpatientfrom % of charges	$9.77	$150.63	$0.01 – $18,581
3	Anthem ppo/par facility · percent of total billed charges · outpatientfrom % of charges	$9.77	$150.63	$0.01 – $18,581
4	Anthem hmo facility · fee schedule · outpatient	$21.23	$421.41	$0.01 – $45,560
5	Anthem hmx facility · fee schedule · outpatient	$21.23	$421.41	$0.01 – $45,560
6	Anthem ppo/par facility · fee schedule · outpatient	$21.23	$421.41	$0.01 – $45,560
7	UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$8.89	$625.31	— – $307,688
8	Carefirst hmo facility · fee schedule · inpatient	$2.27	$718.95	$0.02 – $855,549
9	Carefirst rpn facility · fee schedule · inpatient	$2.27	$718.95	$0.02 – $855,549
10	UnitedHealthcare managed medicaid facility · percent of total billed charges · inpatientfrom % of charges	$10.62	$746.90	— – $367,516
11	Carefirst hmo facility · fee schedule · outpatient	$3.56	$1,130	$0.03 – $1,344,434
12	Carefirst rpn facility · fee schedule · outpatient	$3.56	$1,130	$0.03 – $1,344,434
13	Cigna oap facility · fee schedule · outpatient	$5.51	$1,533	$0.04 – $1,808,040
14	Cigna ppo facility · fee schedule · outpatient	$5.51	$1,533	$0.04 – $1,808,040
15	Carefirst managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$8.62	$6,575	— – $1,382,400
16	Kaiser managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$8.62	$6,575	— – $1,382,400
17	Aetna Better Health managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$8.86	$6,757	— – $1,420,800
18	UnitedHealthcare all payer facility · percent of total billed charges · outpatientfrom % of charges	$8.99	$6,856	— – $1,441,536
19	UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges	$8.99	$6,856	— – $1,441,536
20	UnitedHealthcare all payer facility · percent of total billed charges · inpatientfrom % of charges	$9.16	$6,987	— – $1,469,184
21	UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges	$9.16	$6,987	— – $1,469,184
22	Cigna epo facility · percent of total billed charges · inpatientfrom % of charges	$10.05	$7,670	— – $1,612,800
23	Cigna epo facility · percent of total billed charges · outpatientfrom % of charges	$10.05	$7,670	— – $1,612,800
24	Aetna Better Health managed medicaid facility · percent of total billed charges · inpatientfrom % of charges	$10.29	$7,853	— – $1,651,200
25	Carefirst managed medicaid facility · percent of total billed charges · inpatientfrom % of charges	$10.29	$7,853	— – $1,651,200

Page 1 of 2 · 38 rates

Last updated: Apr 2, 2026

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