RC 263
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
THER/PROPH/DIAG INJ SC/IM
Low
$7
Average
$256
Median
$195
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
24 payers; the 90th percentile is 5.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem fee schedule · outpatient · +3 other terms | 17 | $69 | $69 | $8 | 12% | — | $55 – $74 |
| 2 | Phcs per diem · inpatient · +2 other terms | 4 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | Blue Cross Blue Shield case rate · outpatient · +7 other terms | 3 | $5.0k | $3.6k | $2.4k | 66% | — | $17 – $6.5k |
| 4 | Humana facility · case rate · outpatient · +8 other terms | 3 | $176 | $181 | $8 | 5% | — | $176 – $193 |
| 5 | UnitedHealthcare per diem · outpatient · +11 other terms | 3 | $223 | $223 | — | — | — | $223 – $223 |
| 6 | Aetna fee schedule · outpatient · +7 other terms | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Medica other · outpatient · +1 other terms | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Molina other · outpatient · +3 other terms | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 9 | WellCare facility · fee schedule · outpatient | 2 | $475 | $475 | — | — | — | $475 – $475 |
| 10 | Aetna Better Health facility · case rate · outpatient | 1 | $206 | $206 | $4 | 2% | — | $202 – $209 |
| 11 | Ambetter case rate · outpatient · +2 other terms | 1 | $183 | $183 | $114 | 62% | — | $27 – $292 |
| 12 | Amerihealth Caritas facility · case rate · outpatient | 1 | $211 | $211 | — | — | — | $211 – $211 |
| 13 | Beechstreet facility · percent of total billed charges · outpatientfrom % of charges | 1 | $245 | $245 | $148 | 60% | — | $78 – $520 |
| 14 | Cigna fee schedule · both · +5 other terms | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 15 | Cigna Healthspring case rate · outpatient | 1 | $167 | $167 | $120 | 72% | — | $17 – $285 |
| 16 | Devoted facility · percent of total billed charges · outpatientfrom % of charges | 1 | $542 | $542 | — | — | — | $542 – $542 |
| 17 | First Health fee schedule · inpatient · +2 other terms | 1 | $185 | $185 | $312 | 169% | — | $4 – $1.6k |
| 18 | Kaiser facility · percent of total billed charges · bothfrom % of charges | 1 | $115 | $115 | $52 | 45% | — | $55 – $191 |
| 19 | Medical Mutual percent of total billed charges · bothfrom % of charges · +1 other terms | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 20 | MultiPlan fee schedule · inpatient · +5 other terms | 1 | $213 | $213 | $359 | 169% | — | $5 – $1.9k |
| 21 | Optum facility · fee schedule · outpatient | 1 | $452 | $452 | — | — | — | $452 – $452 |
| 22 | Premera facility · percent of total billed charges · bothfrom % of charges | 1 | $118 | $118 | $56 | 47% | — | $54 – $212 |
| 23 | Regence facility · percent of total billed charges · bothfrom % of charges | 1 | $114 | $114 | $55 | 48% | — | $54 – $212 |
| 24 | Tricare facility · fee schedule · both | 1 | $81 | $81 | $51 | 63% | — | $30 – $133 |
← Hospitals reporting RC 263 · Snapshot 20261111T120946Z-9134e7f7