RC 637
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
HC Rx 637 Self Administrable Drugs (Alt 250 IP)
Troy, NY
See all hospitals reporting RC 637 →Price type
Samaritan Hospital’s median price of $1 is 82% below the median hospital's median price ($5), higher than 12% of the 1,161 hospitals reporting RC 637. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 43 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 | Excellus blue shield of ne new york medicare adv facility · percent of total billed charges · bothfrom % of charges | $1 | $1 | $1 | 73% | — | $1 – $3 |
| 2 | Highmark blue shield of ne new york medicare adv facility · percent of total billed charges · bothfrom % of charges | $1 | $1 | $1 | 73% | — | $1 – $3 |
| 3 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $0 | $3 | $13 | 413% | — | $0 – $302 |
| 4 | Anthem empire medicaid facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Excellus empire medicaid facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Anthem empire bcbs medicare advantage facility · other · both | $36 | $36 | $34 | 96% | — | $1 – $70 |
| 9 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $37 | $37 | $36 | 96% | — | $1 – $73 |
| 10 | Aetna aetna medicare advantage facility · other · both | $38 | $38 | $37 | 96% | — | $1 – $75 |
| 11 | WellCare wellcare medicare advantage facility · other · both | $40 | $40 | $38 | 96% | — | $1 – $78 |
| 12 | Excellus blue shield of ne new york medicare adv facility · other · both | $40 | $40 | $38 | 96% | — | $1 – $78 |
| 13 | Highmark blue shield of ne new york medicare adv facility · other · both | $40 | $40 | $38 | 96% | — | $1 – $78 |
| 14 | Highmark blue shield of ne new york ascend facility · other · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 15 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 16 | Blue Cross Blue Shield blue shield of ne new york hmo facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 17 | Carefirst blue shield of ne new york hmo facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 18 | Highmark blue shield of ne new york hmo facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 19 | Wellmark blue shield of ne new york hmo facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 20 | Cigna cigna facility · fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 21 | Aetna aetna facility · other · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 22 | Medical Mutual aetna facility · other · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 23 | Blue Cross Blue Shield blue shield of ne new york ppo facility · other · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 24 | Carefirst blue shield of ne new york ppo facility · other · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 25 | Excellus blue shield of ne new york ppo facility · other · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
Last updated: Mar 31, 2026
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