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
ACYCLOVIR SODIUM 50 MG/ML IV SOLN
River, MA
See all hospitals reporting RC 636 →Price type
Southcoast Hospitals Group, Inc.’s median price of $3 is 95% below the median hospital's median price ($59), higher than 3% 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: 8 payers, 22 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 medicare managed care [101030101] other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Bcbs Ma bcbs massachusetts hmo [101040122] other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Bcbs Ri bcbs rhode island hmo [101050101] other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Blue Cross Blue Shield bcbs mass medicare managed care [101030201] other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Cigna cigna [100011201] other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | UnitedHealthcare united health one care [101031004] other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 7 | UnitedHealthcare united medicare managed care [101031001] other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 8 | Bcbs Ri bcbs rhode island hmo [101050101] fee schedule · outpatient | $1.64 | $57.40 | $0.01 – $4,969 |
| 9 | Aetna aetna medicare managed care [101030101] fee schedule · outpatient | $26.71 | $147.87 | — – $5,168 |
| 10 | Blue Cross Blue Shield bcbs mass medicare managed care [101030201] fee schedule · outpatient | $26.71 | $147.87 | — – $5,168 |
| 11 | UnitedHealthcare united medicare managed care [101031001] fee schedule · outpatient | $26.71 | $147.87 | — – $5,168 |
| 12 | Cigna cigna [100011201] fee schedule · outpatient | $5.97 | $149.39 | $0.02 – $12,145 |
| 13 | UnitedHealthcare united health one care [101031004] fee schedule · outpatient | $28.05 | $155.26 | — – $5,427 |
| 14 | Bcbs Ma bcbs massachusetts hmo [101040122] fee schedule · outpatient | $29.30 | $158.03 | $0.01 – $4,969 |
| 15 | UnitedHealthcare united healthcare [101080105] fee schedule · outpatient | $48.35 | $251.69 | $0.02 – $8,198 |
| 16 | UnitedHealthcare united healthcare [101080105] percent of total billed charges · outpatientfrom % of charges | $23.83 | $510.25 | $1.66 – $26,973 |
| 17 | Phcs phcs [100012501] percent of total billed charges · outpatientfrom % of charges | $66.17 | $1,602 | $2.16 – $67,331 |
| 18 | Aetna aetna [100010801] percent of total billed charges · outpatientfrom % of charges | $77.47 | $1,876 | $2.53 – $78,829 |
| 19 | First Health first health [100013001] percent of total billed charges · outpatientfrom % of charges | $77.47 | $1,876 | $2.53 – $78,829 |
| 20 | Bcbs Ma bcbs massachusetts hmo [101040122] percent of total billed charges · outpatientfrom % of charges | $2,967 | $2,967 | $381.87 – $5,552 |
| 21 | Bcbs Ri bcbs rhode island hmo [101050101] percent of total billed charges · outpatientfrom % of charges | $3,719 | $3,304 | $2,473 – $3,719 |
| 22 | Cigna cigna [100011201] percent of total billed charges · outpatientfrom % of charges | $7,426 | $11,345 | $1,661 – $35,496 |
Last updated: Dec 15, 2025
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