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
$219
Average
$21.8k
Median
$5.6k
High
$84.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
60 hospitals; the 90th percentile is 243.0× 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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64 hospital rates
iThe hospitals that file a Cigna 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $6.1k | $8.7k | $6.9k | 79% | — | $2.8k – $30.5k |
| 2 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 10 | $92.0k | $83.7k | $18.6k | 22% | — | $48.7k – $108.2k |
| 3 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 10 | $92.0k | $83.7k | $18.6k | 22% | — | $48.7k – $108.2k |
| 4 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 10 | $92.0k | $83.7k | $18.6k | 22% | — | $48.7k – $108.2k |
| 5 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $1.6k | $2.3k | $2.0k | 87% | — | $665 – $9.6k |
| 6 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $3.4k | $3.9k | $1.1k | 27% | — | $2.9k – $5.3k |
| 7 | Banner University Med Center South Tucson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $4.2k | $3.6k | 84% | — | $193 – $10.8k |
| 8 | Banner University Medical Center Tucson Tucscon, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.7k | $6.3k | $5.3k | 84% | — | $193 – $16.2k |
| 9 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $10.6k | $10.6k | $773 | 7% | — | $9.8k – $11.4k |
| 10 | Duncan Regional Hospital Duncan, OK percent of total billed charges · outpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 11 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $6.3k | $10.8k | $11.3k | 104% | — | $940 – $60.6k |
| 12 | Gottlieb Memorial Hospital Melrose Park, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $13.2k | $14.8k | $11.7k | 79% | — | $205 – $36.9k |
| 13 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient | 1 | $2.6k | $3.7k | $3.3k | 87% | — | $1.1k – $15.4k |
| 14 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $3.2k | $2.8k | 87% | — | $916 – $13.2k |
| 15 | Hackensack Meridian at Pascack Valley Westwood, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $5.9k | $5.9k | $40 | 1% | — | $5.9k – $5.9k |
| 16 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $4.7k | $6.8k | $5.9k | 87% | — | $1.9k – $27.9k |
| 17 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 18 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 19 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $2.3k | $3.7k | $3.2k | 85% | — | $928 – $12.5k |
| 20 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $7.4k | $10.5k | $8.3k | 79% | — | $3.4k – $36.8k |
| 21 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $2.0k | $3.0k | $2.6k | 87% | — | $860 – $12.2k |
| 22 | Lovelace Health System, LLC Roswell, NM facility · percent of total billed charges · bothfrom % of charges | 2 | $4.1k | $8.1k | $5.2k | 64% | — | $2.6k – $15.8k |
| 23 | Loyola University Medical Center Maywood, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $17.0k | $19.6k | $16.4k | 84% | — | $236 – $53.3k |
| 24 | MacNeal Hospital Berwyn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12.6k | $13.3k | $10.2k | 76% | — | $223 – $28.4k |
| 25 | Munson Healthcare Cadillac Cadillac, MI facility · fee schedule · outpatient | 1 | $346 | $346 | — | — | — | $346 – $346 |
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