RC 623
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
SURGICAL DRESSING HOLDER, NON-REUSABLE, EACH
Glendale, CA
See all hospitals reporting RC 623 →Price type
Glendale Adventist Medical Center’s median price of $37 is 8% above the median hospital's median price ($34), higher than 53% of the 295 hospitals reporting RC 623. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 25 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blue shield mcr adv other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Blue Cross Blue Shield tricare blue shield - all plans other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Molina molina mcr other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 4 | UnitedHealthcare uhc mcr adv other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Blue Cross Blue Shield blue cross mcr adv other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Molina molina exchange - all other plans other · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 8 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 9 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 10 | UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 11 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 12 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 13 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 15 | Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 16 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 17 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 18 | Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 19 | Blue Cross Blue Shield blue cross non-mcs case rate · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 20 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 21 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 22 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 23 | Medicaid medi-cal fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 24 | Molina molina mcal fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 25 | Blue Cross Blue Shield blue shield medi-cal fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
Last updated: Jul 30, 2026
See Surgical dressings and supplies pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.