RC 636

Skin graft, 10 inch by 4 inch matrix at Temple University Hospital - Northeastern Campus

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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION (FC)

Philadelphia, PA

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How this price compares nationally

Temple University Hospital - Northeastern Campus’s median price of $5 is 91% below the median hospital's median price ($59), higher than 5% 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 Temple University Hospital - Northeastern Campus

Negotiated rates from the hospital’s own file: 9 payers, 39 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	Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges	$400.00	$389.32	$5.25 – $400.00
2	Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges	$1.98	$779.11	— – $669,640
3	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$1.98	$779.11	— – $669,640
4	Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · percent of total billed charges · outpatientfrom % of charges	$3.12	$1,226	$0.01 – $1,053,859
5	Bcbs Pa medicare advantage select 65 facility · percent of total billed charges · outpatientfrom % of charges	$3.12	$1,226	$0.01 – $1,053,859
6	Cigna medicare dsnp/medicare hmo/medicare ppo facility · percent of total billed charges · outpatientfrom % of charges	$3.58	$1,409	$0.01 – $1,210,840
7	Bcbs Pa indemnity facility · fee schedule · outpatient	$1.94	$1,547	$0.01 – $369,160
8	Bcbs Pa hmo/ppo/temple member facility · fee schedule · outpatient	$1.94	$1,547	$0.01 – $369,160
9	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$4.41	$1,737	$0.01 – $1,492,967
10	Bcbs Nj indemnity facility · fee schedule · outpatient	$1.57	$2,329	— – $578,771
11	Bcbs Nj managed care facility · fee schedule · outpatient	$1.57	$2,329	— – $578,771
12	Bcbs Nj ppo facility · fee schedule · outpatient	$1.57	$2,329	— – $578,771
13	Bcbs Nj medicare advantage facility · fee schedule · outpatient	$1.91	$2,585	$0.01 – $587,650
14	Highmark medicare advantage facility · fee schedule · outpatient	$1.81	$2,637	— – $591,726
15	Bcbs Nj indemnity facility · percent of total billed charges · outpatientfrom % of charges	$3.04	$2,644	$0.02 – $1,646,655
16	Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges	$3.04	$2,644	$0.02 – $1,646,655
17	Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges	$3.04	$2,644	$0.02 – $1,646,655
18	Oscar pennsylvania health plan facility · fee schedule · outpatient	$1.97	$2,755	— – $627,230
19	Oscar pennsylvania health plan facility · percent of total billed charges · outpatientfrom % of charges	$3.53	$2,862	$0.02 – $1,866,209
20	Highmark commercial facility · fee schedule · outpatient	$2.17	$3,164	— – $710,071
21	Bcbs Pa indemnity facility · percent of total billed charges · outpatientfrom % of charges	$5.36	$4,739	$0.03 – $2,969,468
22	Bcbs Pa hmo/ppo/temple member facility · percent of total billed charges · outpatientfrom % of charges	$6.70	$5,922	$0.04 – $3,710,463
23	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$13.57	$7,533	$0.02 – $2,953,001
24	Aetna first health facility · percent of total billed charges · outpatientfrom % of charges	$13.57	$7,533	$0.02 – $2,953,001
25	Aetna workers' comp facility · percent of total billed charges · outpatientfrom % of charges	$13.57	$7,533	$0.02 – $2,953,001

Page 1 of 2 · 39 rates

Last updated: Apr 13, 2026

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