RC 636

Skin graft, 10 inch by 4 inch matrix at St Luke's Magic Valley Regional Medical Center, LTD

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

AMPICILLIN 100 MG/ML RECONSTITUTION (0.5,1,2,10 G VIAL)

Twin Falls, ID

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How this price compares nationally

St Luke's Magic Valley Regional Medical Center, LTD’s median price of $24 is 59% below the median hospital's median price ($59), higher than 22% of the 1,987 hospitals reporting RC 636. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 636 at St Luke's Magic Valley Regional Medical Center, LTD

Negotiated rates from the hospital’s own file: 8 payers, 57 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	UnitedHealthcare hb mv aarp optum ubh med adv other · both	$2.89	$12.91	$2.89 – $143.20
2	Bcbs Id hb mv bci ppo fep percent of total billed charges · outpatientfrom % of charges	$20.79	$31.24	$12.87 – $69.49
3	Blue Cross Blue Shield hb mv bci ppo fep percent of total billed charges · outpatientfrom % of charges	$20.79	$31.24	$12.87 – $69.49
4	Regence hb mv medicare advantage percent of total billed charges · outpatientfrom % of charges	$63.27	$76.78	$7.98 – $283.48
5	Molina hb mv molina mmcp percent of total billed charges · outpatientfrom % of charges	$63.27	$77.51	$7.98 – $283.48
6	Blue Cross Blue Shield hb mv bci true & secure med adv percent of total billed charges · outpatientfrom % of charges	$63.90	$78.28	$8.06 – $286.31
7	Molina hb mv molina med adv percent of total billed charges · outpatientfrom % of charges	$65.12	$81.41	$8.14 – $289.15
8	UnitedHealthcare hb mv aarp optum ubh med adv percent of total billed charges · outpatientfrom % of charges	$67.03	$83.81	$8.38 – $297.65
9	Aetna hb mv aetna med adv percent of total billed charges · outpatientfrom % of charges	$69.60	$84.46	$8.78 – $311.83
10	Blue Cross Blue Shield hb mv bci true & secure med adv other · both	$137.74	$137.74	$137.74 – $137.74
11	Aetna hb mv aetna med adv other · both	$144.60	$144.60	$144.60 – $144.60
12	Molina hb mv molina med adv other · both	$172.53	$172.53	$172.53 – $172.53
13	Molina hb mv molina mmcp other · both	$172.53	$172.53	$172.53 – $172.53
14	Regence hb mv regence boise network percent of total billed charges · outpatientfrom % of charges	$16.17	$183.07	$0.01 – $2,094
15	Regence hb mv regence out of state percent of total billed charges · outpatientfrom % of charges	$16.74	$190.60	$0.01 – $2,204
16	Blue Cross Blue Shield hb mv bci out of state percent of total billed charges · outpatientfrom % of charges	$17.01	$192.71	$0.01 – $2,204
17	Bcbs Id hb mv slhp blue cross carepoint qhp percent of total billed charges · bothfrom % of charges	$53.11	$193.06	$0.01 – $986.89
18	Bcbs Id hb mv slhp blue cross large group percent of total billed charges · bothfrom % of charges	$53.11	$193.06	$0.01 – $986.89
19	Regence hb mv regence ppo & traditional percent of total billed charges · outpatientfrom % of charges	$17.28	$194.89	$0.01 – $2,204
20	Blue Cross Blue Shield hb mv regence out of state percent of total billed charges · outpatientfrom % of charges	$17.01	$196.97	$0.01 – $2,204
21	Molina hb mv molina mmcp fee schedule · outpatient	$1.85	$259.57	$1.61 – $1,789
22	Regence hb mv medicare advantage fee schedule · outpatient	$1.85	$259.57	$1.61 – $1,789
23	Blue Cross Blue Shield hb mv bci true & secure med adv fee schedule · outpatient	$1.87	$262.16	$1.63 – $1,807
24	Molina hb mv molina med adv fee schedule · outpatient	$1.89	$264.76	$1.65 – $1,825
25	UnitedHealthcare hb mv aarp optum ubh med adv fee schedule · outpatient	$1.94	$272.54	$1.69 – $1,879

Page 1 of 3 · 57 rates

Last updated: Mar 25, 2026

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