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
VISIPAQUE320/200ML#580696
Novi, MI
See all hospitals reporting RC 636 →Price type
Henry Ford Health’s median price of $4 is 93% below the median hospital's median price ($59), higher than 4% 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: 7 payers, 10 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 | Magellan 981_sjpk magellan behavioral 20200101 percent of total billed charges · outpatientfrom % of charges | $1.80 | $11.38 | $0.01 – $217.50 |
| 2 | Cigna 1076_sjpk sjpr cigna 20210912 percent of total billed charges · outpatientfrom % of charges | $2.46 | $15.55 | $0.02 – $297.25 |
| 3 | Aetna 1024_sjpk,sjpr aetna michigan preferred 20210701 percent of total billed charges · outpatientfrom % of charges | $2.70 | $17.06 | $0.02 – $326.25 |
| 4 | UnitedHealthcare 1207_sjpr,sjpk united health care aso 20241001 percent of total billed charges · outpatientfrom % of charges | $2.88 | $18.20 | $0.02 – $348.00 |
| 5 | Blue Cross Blue Shield 1145_sjpk blue cross blue shield ppo 20220401 percent of total billed charges · outpatientfrom % of charges | $3.24 | $19.48 | $0.03 – $391.50 |
| 6 | Blue Cross Blue Shield 1147_sjpk blue cross blue shield of michigan traditional 20220401 percent of total billed charges · outpatientfrom % of charges | $3.24 | $19.48 | $0.03 – $391.50 |
| 7 | Aetna 1203_sjpk,sjpr aetna ppo 20241001 percent of total billed charges · outpatientfrom % of charges | $4.14 | $26.16 | $0.03 – $500.25 |
| 8 | UnitedHealthcare 671_sjpk,sjpr united health care non aso 20200401 percent of total billed charges · outpatientfrom % of charges | $4.38 | $27.68 | $0.04 – $529.25 |
| 9 | First Health 1008_sjpk,sjpr first health coventry commercial 20100201 percent of total billed charges · outpatientfrom % of charges | $4.50 | $28.44 | $0.04 – $543.75 |
| 10 | MultiPlan 1011_sjpk,sjpr multiplan ppo 20080905 percent of total billed charges · outpatientfrom % of charges | $5.10 | $32.23 | $0.04 – $616.25 |
Last updated: Jan 1, 2026
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