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
HB Smallpox&Monkeypox Vac 0.5ml
Rochester, NY
See all hospitals reporting RC 636 →Price type
Highland Hospital’s median price of $212 is 260% above the median hospital's median price ($59), higher than 91% 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: 6 payers, 17 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 [270002] percent of total billed charges · outpatientfrom % of charges | $15.00 | $15.00 | $15.00 – $15.00 |
| 2 | UnitedHealthcare united healthcare [515803] percent of total billed charges · outpatientfrom % of charges | $21.00 | $21.00 | $21.00 – $21.00 |
| 3 | Aetna aetna [270002] fee schedule · outpatient | $9.79 | $24.79 | $0.59 – $53.56 |
| 4 | Excellus excellus metal tiers [220102] fee schedule · outpatient | $45.99 | $56.48 | $0.01 – $133.95 |
| 5 | Excellus excellus blue choice [220107], excellus healthy ny [220110], excellus high performance [220103], excellus simply blue [220106] fee schedule · outpatient | $91.33 | $112.17 | $0.01 – $266.02 |
| 6 | Cigna cigna healthcare (pob 182223) [514405] fee schedule · outpatient | $166.19 | $1,403 | $0.04 – $56,825 |
| 7 | Excellus excellus child health plus [220108] fee schedule · outpatient | $101.00 | $1,491 | $0.15 – $76,407 |
| 8 | Excellus excellus essential (no medicaid) [220109] fee schedule · outpatient | $101.00 | $1,491 | $0.15 – $76,407 |
| 9 | Excellus excellus essential (w/ medicaid) [170604] fee schedule · outpatient | $101.00 | $1,491 | $0.15 – $76,407 |
| 10 | UnitedHealthcare united healthcare medicaid [171601] fee schedule · outpatient | $153.00 | $1,757 | $0.15 – $76,407 |
| 11 | Aetna aetna medicare [130001] fee schedule · outpatient | $130.57 | $1,862 | $0.01 – $73,872 |
| 12 | Molina molina essential (no medicaid) [518902], molina essential pa 3 and 4 [172302] fee schedule · outpatient | $236.59 | $1,905 | $0.01 – $73,468 |
| 13 | Excellus blue choice option medicaid [170601] fee schedule · outpatient | $203.00 | $2,521 | $0.15 – $76,407 |
| 14 | UnitedHealthcare united healthcare medicare [130901] fee schedule · outpatient | $197.03 | $3,047 | $0.01 – $62,507 |
| 15 | Molina molina child health plus [518901], molina healthcare [172301] fee schedule · outpatient | $482.00 | $3,526 | $0.01 – $73,468 |
| 16 | UnitedHealthcare united healthcare essential (no medicaid [515812] fee schedule · outpatient | $482.00 | $3,526 | $0.01 – $73,468 |
| 17 | Humana humana medicare [131201] fee schedule · outpatient | $229.27 | $3,546 | $0.01 – $72,735 |
Last updated: Jul 1, 2026
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