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
PANGLOBULIN MS 6 GRAM VIAL
Pasadena, TX
See all hospitals reporting RC 263 →Price type
Pmc Hospital, Llc’s median price of $24 is 68% below the median hospital's median price ($75), higher than 9% of the 75 hospitals reporting RC 263. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 24 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 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $2 | $18 | $44 | 238% | — | $0 – $212 |
| 2 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $2 | $21 | $49 | 238% | — | $0 – $239 |
| 3 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $3 | $27 | $66 | 244% | — | $0 – $261 |
| 4 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $4 | $36 | $85 | 238% | — | $0 – $412 |
| 5 | UnitedHealthcare commercial|charter fee schedule · outpatient | $4 | $40 | $99 | 245% | — | $0 – $394 |
| 6 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $4 | $40 | $99 | 245% | — | $0 – $394 |
| 7 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $4 | $40 | $99 | 245% | — | $0 – $394 |
| 8 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $5 | $45 | $107 | 238% | — | $0 – $516 |
| 9 | Cigna commercial|ppo fee schedule · outpatient | $17 | $49 | $72 | 148% | 12 | $0 – $318 |
| 10 | Cigna commercial|hmo fee schedule · outpatient | $18 | $49 | $73 | 148% | 126–135 | $0 – $318 |
| 11 | Cigna commercial|surefit fee schedule · outpatient | $18 | $49 | $73 | 148% | 1–10 | $0 – $318 |
| 12 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $6 | $51 | $116 | 228% | — | $0 – $546 |
| 13 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $183 | $167 | $120 | 72% | — | $17 – $285 |
| 14 | Cigna Healthspring medicare|all plans case rate · outpatient | $183 | $167 | $120 | 72% | — | $17 – $285 |
| 15 | Humana medicare|all plans case rate · outpatient | $183 | $167 | $120 | 72% | — | $17 – $285 |
| 16 | Aetna medicare|all plans case rate · outpatient | $187 | $170 | $122 | 72% | — | $18 – $291 |
| 17 | UnitedHealthcare medicare|all plans case rate · outpatient | $187 | $170 | $122 | 72% | — | $18 – $291 |
| 18 | Ambetter commercial|all plans case rate · outpatient | $207 | $183 | $114 | 62% | — | $27 – $292 |
| 19 | Cigna commercial|transplant fee schedule · outpatient | $69 | $185 | $313 | 169% | — | $4 – $1.7k |
| 20 | First Health commercial|all plans fee schedule · inpatient | $69 | $185 | $312 | 169% | — | $4 – $1.6k |
| 21 | First Health commercial|all plans fee schedule · outpatient | $69 | $185 | $312 | 169% | — | $4 – $1.6k |
| 22 | Cigna commercial|transplant fee schedule · inpatient | $75 | $199 | $336 | 169% | — | $4 – $1.7k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $80 | $213 | $359 | 169% | — | $5 – $1.9k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $80 | $213 | $359 | 169% | — | $5 – $1.9k |
Last updated: Feb 28, 2026
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