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
VANCOMYCIN 50 MG/ML RECONSTITUTION (0.5,0.75,1,1.25,1.5,5 VIAL)
Ketchum, ID
See all hospitals reporting RC 636 →Price type
St Luke's Wood River Medical Center, LTD’s median price of $33 is 44% below the median hospital's median price ($59), higher than 30% 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, 23 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 wr aarp med adv fee schedule · outpatient | $103.07 | $133.60 | $24.38 – $328.55 |
| 2 | UnitedHealthcare hb wr aarp med adv percent of total billed charges · inpatientfrom % of charges | $97.22 | $143.26 | $11.37 – $403.96 |
| 3 | Cigna hb wr cigna percent of total billed charges · bothfrom % of charges | $6.38 | $400.11 | $0.01 – $57,600 |
| 4 | Cigna hb wr cigna percent of total billed charges · outpatientfrom % of charges | $62.98 | $455.43 | $0.01 – $26,414 |
| 5 | Bcbs Id hb wr bci ppo fep percent of total billed charges · bothfrom % of charges | $25.65 | $467.37 | $0.01 – $59,040 |
| 6 | Blue Cross Blue Shield hb wr bci ppo fep percent of total billed charges · bothfrom % of charges | $25.57 | $470.37 | $0.01 – $59,040 |
| 7 | Cigna hb wr cigna fee schedule · outpatient | $5.62 | $623.02 | $0.01 – $55,757 |
| 8 | Regence hb wr medicare advantage percent of total billed charges · bothfrom % of charges | $27.61 | $690.18 | $0.06 – $41,040 |
| 9 | Molina hb wr molina mmcp percent of total billed charges · bothfrom % of charges | $27.67 | $690.21 | $0.06 – $41,040 |
| 10 | Blue Cross Blue Shield hb wr bci true & secure med adv percent of total billed charges · bothfrom % of charges | $27.85 | $695.99 | $0.06 – $41,450 |
| 11 | Molina hb wr molina med adv percent of total billed charges · bothfrom % of charges | $28.22 | $705.06 | $0.06 – $41,861 |
| 12 | UnitedHealthcare hb wr aarp med adv percent of total billed charges · bothfrom % of charges | $28.37 | $721.70 | $0.06 – $43,092 |
| 13 | Cigna hb wr cigna percent of total billed charges · inpatientfrom % of charges | $18.24 | $723.97 | $0.01 – $48,174 |
| 14 | Aetna hb wr aetna med adv percent of total billed charges · bothfrom % of charges | $30.36 | $760.21 | $0.06 – $45,144 |
| 15 | Aetna hb wr aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges | $39.32 | $1,041 | $0.01 – $64,800 |
| 16 | UnitedHealthcare hb wr united healthcare percent of total billed charges · bothfrom % of charges | $42.41 | $1,078 | $0.01 – $65,160 |
| 17 | Aetna hb wr bp aetna percent of total billed charges · bothfrom % of charges | $41.14 | $1,096 | $0.01 – $68,400 |
| 18 | First Health hb wr first choice health percent of total billed charges · bothfrom % of charges | $41.50 | $1,099 | $0.01 – $68,400 |
| 19 | First Health hb wr ccn first health percent of total billed charges · bothfrom % of charges | $42.37 | $1,122 | $0.01 – $69,840 |
| 20 | Bcbs Id hb wr bci ppo fep percent of total billed charges · inpatientfrom % of charges | $161.94 | $2,184 | $0.01 – $49,379 |
| 21 | Blue Cross Blue Shield hb wr bci ppo fep percent of total billed charges · inpatientfrom % of charges | $161.94 | $2,184 | $0.01 – $49,379 |
| 22 | Bcbs Id hb wr bci ppo fep fee schedule · outpatient | $676.00 | $2,537 | $5.47 – $85,539 |
| 23 | Blue Cross Blue Shield hb wr bci ppo fep fee schedule · outpatient | $676.00 | $2,537 | $5.47 – $85,539 |
Last updated: Mar 25, 2026
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