RC 813
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
GRAFT CORNEA MICROKERATOME PRECUT FOR DSAEK WITH AMPHO B EA 1 K002-DS-AB
Low
$50
Average
$11.4k
Median
$4.5k
High
$46.3k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 395.2× 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.
Filter by billing methodology
Filter by billing class
37 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 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 5 | $15.2k | $13.0k | $5.8k | 45% | — | $6.5k – $21.6k |
| 2 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 20 | $60.6k | $54.3k | $37.3k | 69% | — | $6.5k – $108.2k |
| 3 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 5 | $15.2k | $13.4k | $5.3k | 40% | — | $7.6k – $21.6k |
| 4 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 20 | $60.6k | $54.5k | $37.0k | 68% | — | $7.6k – $108.2k |
| 5 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 5 | $15.2k | $13.0k | $5.8k | 45% | — | $6.5k – $21.6k |
| 6 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 20 | $60.6k | $54.3k | $37.3k | 69% | — | $6.5k – $108.2k |
| 7 | Gottlieb Memorial Hospital Melrose Park, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $20.9k | $24.4k | $19.2k | 79% | — | $315 – $60.2k |
| 8 | Hackensack Meridian at Pascack Valley Westwood, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $5.8k | $5.8k | $39 | 1% | — | $5.8k – $5.8k |
| 9 | KARMANOS CANCER CENTER DETROIT, MI fee schedule | 1 | $421 | $604 | $827 | 137% | — | $16 – $2.5k |
| 10 | Kalkaska Memorial Health Center Kalkaska, MI facility · fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 11 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 12 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 13 | Lovelace Health System, LLC Roswell, NM facility · percent of total billed charges · bothfrom % of charges | 5 | $7.3k | $7.1k | $3.4k | 48% | — | $1.5k – $13.3k |
| 14 | Loyola University Medical Center Maywood, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $4.1k | $11.6k | $13.3k | 115% | — | $299 – $45.4k |
| 15 | MacNeal Hospital Berwyn, IL facility · percent of total billed charges · inpatientfrom % of charges | 4 | $19.0k | $25.7k | $29.6k | 115% | — | $260 – $119.8k |
| 16 | MacNeal Hospital Berwyn, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $9.1k | $9.6k | $7.5k | 78% | — | $140 – $25.4k |
| 17 | Munson Healthcare Cadillac Cadillac, MI facility · fee schedule · outpatient | 2 | $98 | $98 | $13 | 13% | — | $85 – $111 |
| 18 | Munson Healthcare Charlevoix Hospital Charlevoix, MI facility · fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 19 | Munson Healthcare Charlevoix Hospital Charlevoix, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 20 | Munson Healthcare Charlevoix Hospital Charlevoix, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 21 | Munson Healthcare Grayling Grayling, MI facility · fee schedule · outpatient | 2 | $131 | $131 | $20 | 15% | — | $111 – $151 |
| 22 | Munson Healthcare Manistee Hospital Manistee, MI facility · fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 23 | Munson Healthcare Manistee Hospital Manistee, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 24 | Munson Healthcare Manistee Hospital Manistee, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 25 | Munson Healthcare Otsego Memorial Hospital Gaylord, MI facility · fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
← Payers reporting RC 813 · Snapshot 20261111T120946Z-9134e7f7