RC 636

Skin graft, 10 inch by 4 inch matrix at St. Peter's Health

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

PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A)

Helena, MT

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How this price compares nationally

St. Peter's Health’s median price of $20 is 66% below the median hospital's median price ($59), higher than 18% 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. Peter's Health

Negotiated rates from the hospital’s own file: 6 payers, 18 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	Bcbs Mt medicare replacement fee schedule · inpatient	$1.26	$2.24	$0.16 – $5.31
2	Humana medicare replacement fee schedule · inpatient	$3.71	$6.84	$0.06 – $38.87
3	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$2.42	$16.18	$0.04 – $172.71
4	Cigna allegiance percent of total billed charges · outpatientfrom % of charges	$2.49	$22.60	$0.03 – $326.89
5	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$2.26	$29.47	$0.01 – $596.24
6	Cigna allegiance fee schedule · outpatient	$1.25	$29.60	$0.01 – $288.38
7	Bcbs Mt medicare replacement fee schedule · outpatient	$28.52	$74.77	$0.01 – $730.89
8	Bcbs Mt closed plan network percent of total billed charges · inpatientfrom % of charges	$100.81	$100.81	$100.39 – $101.22
9	Bcbs Mt healthlink percent of total billed charges · inpatientfrom % of charges	$100.81	$100.81	$100.39 – $101.22
10	Bcbs Mt pos percent of total billed charges · inpatientfrom % of charges	$100.81	$100.81	$100.39 – $101.22
11	Bcbs Mt traditional percent of total billed charges · inpatientfrom % of charges	$103.11	$103.11	$102.68 – $103.53
12	Humana medicare replacement fee schedule · outpatient	$28.68	$157.75	$0.01 – $2,159
13	Bcbs Mt closed plan network percent of total billed charges · outpatientfrom % of charges	$125.83	$158.86	$19.71 – $428.71
14	Bcbs Mt healthlink percent of total billed charges · outpatientfrom % of charges	$125.83	$158.86	$19.71 – $428.71
15	Bcbs Mt pos percent of total billed charges · outpatientfrom % of charges	$125.83	$158.86	$19.71 – $428.71
16	Bcbs Mt traditional percent of total billed charges · outpatientfrom % of charges	$137.89	$174.09	$21.60 – $469.81
17	Blue Cross Blue Shield medicare replacement fee schedule · outpatient	$94.18	$290.25	$2.93 – $2,116
18	Bcbs Mt state of montana employees fee schedule · outpatient	$216.14	$666.13	$6.72 – $4,857

Last updated: Mar 16, 2026

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