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
$11
Average
$985
Median
$229
High
$5.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 156.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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18 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 2 | $111 | $120 | $70 | 59% | 332–422 | $45 – $283 |
| 2 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 3 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 4 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 2 | $903 | $903 | $53 | 6% | — | $850 – $955 |
| 5 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · case rate · outpatient | 2 | $903 | $903 | $53 | 6% | — | $850 – $955 |
| 6 | Nebraska Medical Center Omaha, NE fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 7 | Nebraska Medical Center Omaha, NE other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | PMC HOSPITAL, LLC Pasadena, TX case rate · outpatient | 1 | $183 | $167 | $120 | 72% | — | $17 – $285 |
| 9 | PMC HOSPITAL, LLC Pasadena, TX fee schedule · outpatient | 5 | $4 | $34 | $86 | 253% | — | $0 – $546 |
| 10 | Saint Thomas Rutherford Hospital Murfreesboro, TN percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 11 | San Juan Hospital Spanish Valley, UT facility · fee schedule · both | 1 | $229 | $229 | $12 | 5% | — | $216 – $241 |
| 12 | Sarasota Memorial Hospital Sarasota, FL case rate · outpatient | 5 | $4.5k | $5.0k | $1.1k | 22% | — | $3.9k – $6.5k |
| 13 | Sarasota Memorial Hospital - Venice North Venice, FL case rate · outpatient | 5 | $4.5k | $5.0k | $1.1k | 22% | — | $3.9k – $6.5k |
| 14 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $147 | $147 | $64 | 44% | — | $83 – $212 |
| 15 | The University of Tennessee Medical Center Knoxville, TN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $160 | $186 | $114 | 61% | — | $55 – $444 |
| 16 | UF Health The Villages, FL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $795 | $790 | $21 | 3% | — | $757 – $815 |
| 17 | UF Health Leesburg, FL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $788 | $783 | $16 | 2% | — | $757 – $800 |
| 18 | University of Florida Health Gainesville, FL facility · percent of total billed charges · outpatientfrom % of charges | 7 | $582 | $540 | $174 | 32% | — | $278 – $734 |
← Payers reporting RC 263 · Snapshot 20261111T120946Z-9134e7f7