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 %)-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION
Stafford Springs, CT
See all hospitals reporting RC 636 →Price type
Johnson Memorial Hospital’s median price of $118 is 99% above the median hospital's median price ($59), higher than 79% 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: 16 payers, 44 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 | Aetna aetna medicare advantage facility · other · both | $39.15 | $116.61 | $0.24 – $2,760 |
| 2 | Anthem anthem mediblue medicare advantage facility · other · both | $39.15 | $116.61 | $0.24 – $2,760 |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $39.15 | $116.61 | $0.24 – $2,760 |
| 4 | WellCare wellcare medicare advantage facility · other · both | $39.95 | $118.99 | $0.25 – $2,817 |
| 5 | Cigna cigna medicare advantage facility · other · both | $40.33 | $120.11 | $0.25 – $2,843 |
| 6 | Anthem anthem mediblue medicare advantage facility · percent of total billed charges · bothfrom % of charges | $115.96 | $176.58 | $39.16 – $542.61 |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $115.96 | $176.58 | $39.16 – $542.61 |
| 8 | WellCare wellcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $118.33 | $180.18 | $39.96 – $553.68 |
| 9 | Cigna cigna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $119.45 | $181.89 | $40.33 – $558.94 |
| 10 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $47.12 | $282.68 | $0.36 – $45,566 |
| 11 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $92.07 | $594.85 | $0.08 – $93,504 |
| 12 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $92.45 | $628.53 | $0.09 – $106,625 |
| 13 | Aetna aetna whole health facility · percent of total billed charges · bothfrom % of charges | $71.15 | $2,027 | $0.06 – $177,388 |
| 14 | Cigna cigna facility · fee schedule · both | $60.01 | $2,279 | $0.01 – $57,420 |
| 15 | Aetna aetna whole health facility · fee schedule · both | $283.60 | $2,415 | $0.02 – $30,162 |
| 16 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $88.94 | $2,534 | $0.08 – $221,735 |
| 17 | Anthem anthem individual pathway hmo ppo facility · fee schedule · both | $97.24 | $2,778 | $0.03 – $87,379 |
| 18 | Anthem anthem individual pathway hmo ppo facility · percent of total billed charges · bothfrom % of charges | $104.26 | $2,781 | $0.08 – $220,314 |
| 19 | Aetna aetna facility · fee schedule · both | $354.50 | $3,019 | $0.03 – $37,702 |
| 20 | Cigna evernorth facility · percent of total billed charges · bothfrom % of charges | $107.31 | $3,043 | $0.08 – $221,735 |
| 21 | Anthem anthem bluecare prime facility · percent of total billed charges · bothfrom % of charges | $121.07 | $3,230 | $0.09 – $255,849 |
| 22 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $114.19 | $3,238 | $0.08 – $235,949 |
| 23 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $114.19 | $3,238 | $0.08 – $235,949 |
| 24 | Anthem anthem bluecare prime facility · fee schedule · both | $120.27 | $3,435 | $0.04 – $108,069 |
| 25 | Anthem anthem facility · percent of total billed charges · bothfrom % of charges | $134.52 | $3,588 | $0.10 – $284,276 |
Last updated: Mar 31, 2026
See Skin graft, 10 inch by 4 inch matrix pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.