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
$8
Average
$90
Median
$70
High
$211
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6 hospital rates
iThe hospitals that file a Molina 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 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 2 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Nebraska Medical Center Omaha, NE other · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Nebraska Medical Center Omaha, NE percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $133 | $133 | $58 | 44% | — | $75 – $191 |
| 6 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 1 | $211 | $211 | — | — | — | $211 – $211 |
← Payers reporting RC 263 · Snapshot 20261111T120946Z-9134e7f7