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 %)-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION
Waterloo, IA
See all hospitals reporting RC 636 →Price type
Covenant Medical Center Inc’s median price of $102 is 72% above the median hospital's median price ($59), higher than 73% 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: 18 payers, 62 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 aetna medicare advantage facility · fee schedule · outpatient | $63.80 | $70.89 | $63.80 – $85.06 |
| 2 | Wellmark wellmark medicare advantage facility · fee schedule · outpatient | $64.44 | $71.60 | $64.44 – $85.91 |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $65.07 | $72.30 | $65.07 – $86.77 |
| 4 | Oscar oscar facility · fee schedule · outpatient | $123.31 | $115.93 | $99.91 – $133.21 |
| 5 | Ambetter ambetter marketplace facility · fee schedule · outpatient | $134.99 | $128.21 | $49.34 – $200.31 |
| 6 | Wellmark wellmark medicare advantage facility · percent of total billed charges · bothfrom % of charges | $75.54 | $153.50 | $15.20 – $674.50 |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $77.85 | $158.19 | $15.67 – $695.09 |
| 8 | Molina molina medicaid facility · percent of total billed charges · bothfrom % of charges | $41.14 | $159.48 | $0.09 – $20,687 |
| 9 | Molina molina medicaid facility · fee schedule · outpatient | $149.34 | $170.61 | $81.99 – $292.09 |
| 10 | UnitedHealthcare united healthcare facility · case rate · outpatient | $117.00 | $175.40 | $67.00 – $751.00 |
| 11 | Aetna aetna medicare advantage facility · other · both | $46.34 | $176.47 | $0.24 – $4,909 |
| 12 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $42.72 | $177.51 | $0.09 – $20,084 |
| 13 | Wellmark wellmark medicare advantage facility · other · both | $46.81 | $178.23 | $0.25 – $4,958 |
| 14 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $47.27 | $180.00 | $0.25 – $5,008 |
| 15 | Molina molina medicaid facility · other · outpatient | $128.79 | $210.89 | $11.51 – $379.39 |
| 16 | Molina molina medicaid facility · other · both | $73.79 | $212.94 | $0.76 – $4,980 |
| 17 | Ambetter ambetter marketplace facility · other · outpatient | $215.02 | $249.32 | $7.00 – $537.18 |
| 18 | Oscar oscar facility · other · outpatient | $296.01 | $259.09 | $6.39 – $490.72 |
| 19 | Ambetter ambetter marketplace facility · percent of total billed charges · bothfrom % of charges | $153.22 | $268.34 | $25.80 – $1,145 |
| 20 | Oscar oscar facility · percent of total billed charges · bothfrom % of charges | $65.36 | $271.31 | $0.14 – $31,130 |
| 21 | Oscar oscar facility · other · both | $72.57 | $276.35 | $0.38 – $7,688 |
| 22 | Wellmark wellmark medicare advantage facility · other · outpatient | $126.68 | $281.52 | $4.12 – $1,537 |
| 23 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $127.94 | $284.31 | $4.16 – $1,552 |
| 24 | Ambetter ambetter marketplace facility · other · both | $79.44 | $302.51 | $0.42 – $8,416 |
| 25 | Aetna aetna medicare advantage facility · other · outpatient | $125.43 | $317.06 | $4.08 – $1,522 |
Last updated: Mar 31, 2026
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