RC 636

Skin graft, 10 inch by 4 inch matrix at Hackensack Meridian at Pascack Valley

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

DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION *BAG*

Westwood, NJ

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Pricing by billing methodology

Price type

How this price compares nationally

Hackensack Meridian at Pascack Valley’s median price of $19 is 68% below the median hospital's median price ($59), higher than 17% 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 Hackensack Meridian at Pascack Valley

Negotiated rates from the hospital’s own file: 14 payers, 34 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	Blue Cross Blue Shield blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges	$71.31	$91.82	$24.34 – $179.80
2	Blue Cross Blue Shield braven health medicare advantage hmo [363005] facility · percent of total billed charges · bothfrom % of charges	$71.31	$91.82	$24.34 – $179.80
3	Blue Cross Blue Shield horizon healthcare of nj [363002] facility · percent of total billed charges · bothfrom % of charges	$71.31	$91.82	$24.34 – $179.80
4	Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges	$71.31	$91.82	$24.34 – $179.80
5	Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges	$71.31	$91.82	$24.34 – $179.80
6	Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges	$71.31	$91.82	$24.34 – $179.80
7	Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges	$71.31	$91.82	$24.34 – $179.80
8	Medicare rehab medicare [163504] facility · percent of total billed charges · bothfrom % of charges	$71.31	$91.82	$24.34 – $179.80
9	Optum va ccn optum [392000] facility · percent of total billed charges · bothfrom % of charges	$71.31	$91.82	$24.34 – $179.80
10	UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges	$71.31	$91.82	$24.34 – $179.80
11	UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges	$17.98	$235.81	$0.18 – $6,815
12	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$17.98	$235.81	$0.18 – $6,815
13	UnitedHealthcare uhccp [375500] facility · percent of total billed charges · bothfrom % of charges	$6.60	$305.47	$0.05 – $12,264
14	Aetna aetna nnj prime hmo [102003] facility · percent of total billed charges · bothfrom % of charges	$14.75	$321.68	$1.73 – $2,999
15	Clover clover health medicare replacement [379500] facility · percent of total billed charges · bothfrom % of charges	$7.36	$340.88	$0.05 – $13,686
16	Cigna cigna hmo pos open access [126018] facility · percent of total billed charges · bothfrom % of charges	$10.55	$488.60	$0.08 – $19,616
17	Cigna cigna indemnity [126019] facility · percent of total billed charges · bothfrom % of charges	$10.55	$488.60	$0.08 – $19,616
18	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$16.77	$776.46	$0.12 – $31,173
19	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$16.77	$776.46	$0.12 – $31,173
20	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$16.77	$776.46	$0.12 – $31,173
21	Aetna aetna signature [101528] facility · percent of total billed charges · bothfrom % of charges	$17.48	$807.42	$0.13 – $32,413
22	Aetna meritain aetna ardent employee [368502] facility · percent of total billed charges · bothfrom % of charges	$17.48	$807.42	$0.13 – $32,413
23	WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges	$18.41	$852.21	$0.14 – $34,215
24	Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$20.05	$927.96	$0.15 – $37,256
25	UnitedHealthcare united healthcare oxford [206009] facility · percent of total billed charges · bothfrom % of charges	$332.65	$1,187	$4.78 – $6,815

Page 1 of 2 · 34 rates

Last updated: Feb 12, 2026

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