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
LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION (PF) SIMPLE
Pocatello, ID
See all hospitals reporting RC 636 →Price type
Pocatello Hospital, LLC’s median price of $114 is 94% above the median hospital's median price ($59), higher than 77% 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: 15 payers, 35 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 | $83.55 | $121.08 | $33.04 – $346.46 |
| 2 | Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges | $83.55 | $121.08 | $33.04 – $346.46 |
| 3 | Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges | $83.55 | $121.08 | $33.04 – $346.46 |
| 4 | Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges | $83.55 | $121.08 | $33.04 – $346.46 |
| 5 | Medicare rehab medicare [163504] facility · percent of total billed charges · bothfrom % of charges | $83.55 | $121.08 | $33.04 – $346.46 |
| 6 | Molina molina medicare advantage [167500] facility · percent of total billed charges · bothfrom % of charges | $83.55 | $121.08 | $33.04 – $346.46 |
| 7 | WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges | $83.55 | $121.08 | $33.04 – $346.46 |
| 8 | Humana humana advantage plan [152500] facility · percent of total billed charges · bothfrom % of charges | $89.12 | $129.16 | $35.24 – $369.56 |
| 9 | Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges | $89.12 | $129.16 | $35.24 – $369.56 |
| 10 | UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges | $91.79 | $133.03 | $36.30 – $380.64 |
| 11 | Bcbs Id regence bcbs indiv fam network [3535001] facility · percent of total billed charges · bothfrom % of charges | $15.73 | $405.36 | $15.73 – $7,562 |
| 12 | Bcbs Id blue shield of idaho [353500] facility · percent of total billed charges · bothfrom % of charges | $19.13 | $555.05 | $19.13 – $9,197 |
| 13 | Magellan magellan health medicaid [510500] facility · percent of total billed charges · bothfrom % of charges | $9.84 | $569.63 | $6.29 – $9,916 |
| 14 | UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges | $9.84 | $569.63 | $6.29 – $9,916 |
| 15 | Aetna aetna medicare hmo advantage [102001] facility · percent of total billed charges · bothfrom % of charges | $37.00 | $653.75 | $26.11 – $11,296 |
| 16 | Aetna meritain aetna ardent employee [368502] facility · percent of total billed charges · bothfrom % of charges | $31.31 | $1,526 | $1.28 – $61,784 |
| 17 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $75.34 | $2,726 | $2.54 – $122,968 |
| 18 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $76.33 | $2,764 | $2.54 – $122,968 |
| 19 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $103.59 | $3,410 | $2.54 – $122,968 |
| 20 | Blue Cross Blue Shield bcbs connected care qhp small [115549] facility · percent of total billed charges · bothfrom % of charges | $28.87 | $3,472 | $15.53 – $109,532 |
| 21 | Blue Cross Blue Shield blue cross of idaho [115551] facility · percent of total billed charges · bothfrom % of charges | $35.34 | $4,214 | $18.71 – $131,966 |
| 22 | Blue Cross Blue Shield blue cross out of state [115512] facility · percent of total billed charges · bothfrom % of charges | $35.40 | $4,244 | $18.71 – $131,966 |
| 23 | Medcost liberty healthshare [240001] facility · percent of total billed charges · bothfrom % of charges | $87.77 | $4,251 | $3.71 – $179,953 |
| 24 | MultiPlan hma [168003] facility · percent of total billed charges · bothfrom % of charges | $118.30 | $4,401 | $0.01 – $200,948 |
| 25 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $107.66 | $5,214 | $4.56 – $220,743 |
Last updated: Mar 31, 2026
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