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
$111
Average
$68.3k
Median
$3.7k
High
$291.7k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 1075.1× 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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29 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 | MED CITY HEART HOSPITAL Dallas, TX percent of total billed charges · inpatientfrom % of charges | 1 | $255.6k | $255.6k | — | — | 1–10 | $255.6k – $255.6k |
| 2 | MED CITY SPINE HOSPITAL DALLAS, TX percent of total billed charges · inpatientfrom % of charges | 1 | $255.6k | $255.6k | — | — | 1–10 | $255.6k – $255.6k |
| 3 | MEDICAL CITY DALLAS GARLAND, TX percent of total billed charges · inpatientfrom % of charges | 1 | $291.7k | $291.7k | — | — | 1–10 | $291.7k – $291.7k |
| 4 | MEDICAL CITY FORT WORTH FORT WORTH, TX percent of total billed charges · inpatientfrom % of charges | 1 | $142.3k | $142.3k | — | — | 1–10 | $142.3k – $142.3k |
| 5 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $3.5k | $3.5k | $258 | 7% | — | $3.3k – $3.8k |
| 6 | HEART HOSP OF AUSTIN Austin, TX fee schedule · inpatient | 3 | $79.3k | $117.3k | $83.1k | 71% | — | $44.2k – $367.0k |
| 7 | HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX fee schedule · inpatient | 3 | $79.3k | $117.3k | $83.1k | 71% | — | $44.2k – $367.0k |
| 8 | KARMANOS CANCER CENTER DETROIT, MI fee schedule | 2 | $36 | $413 | $577 | 140% | — | $21 – $1.6k |
| 9 | Kalkaska Memorial Health Center Kalkaska, MI facility · fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 10 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 11 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $2.4k | $4.0k | $3.4k | 85% | — | $984 – $13.3k |
| 12 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $2.3k | $3.4k | $3.0k | 87% | — | $982 – $13.9k |
| 13 | Lovelace Health System, LLC Roswell, NM facility · percent of total billed charges · bothfrom % of charges | 2 | $4.7k | $4.9k | $1.3k | 26% | — | $3.2k – $7.0k |
| 14 | Munson Healthcare Cadillac Cadillac, MI facility · fee schedule · outpatient | 2 | $170 | $170 | $59 | 35% | — | $111 – $229 |
| 15 | Munson Healthcare Charlevoix Hospital Charlevoix, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 16 | Munson Healthcare Grayling Grayling, MI facility · fee schedule · outpatient | 2 | $170 | $170 | $59 | 35% | — | $111 – $229 |
| 17 | Munson Healthcare Manistee Hospital Manistee, MI facility · fee schedule · outpatient | 2 | $170 | $170 | $59 | 35% | — | $111 – $229 |
| 18 | Munson Healthcare Otsego Memorial Hospital Gaylord, MI facility · fee schedule · outpatient | 2 | $170 | $170 | $59 | 35% | — | $111 – $229 |
| 19 | Munson Medical Center Traverse City, MI facility · fee schedule · outpatient | 2 | $170 | $170 | $59 | 35% | — | $111 – $229 |
| 20 | Paul Oliver Memorial Hospital Frankfort, MI facility · fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 21 | Rush Hospital/Butler, Inc. Butler, AL other · outpatient | 1 | $1.7k | $2.4k | $2.1k | 87% | — | $701 – $10.0k |
| 22 | Rush Medical Foundation Quitman, MS other · outpatient | 1 | $2.2k | $3.1k | $2.7k | 87% | — | $904 – $12.8k |
| 23 | ST DAVIDS REHAB Austin, TX fee schedule · inpatient | 3 | $79.3k | $117.3k | $83.1k | 71% | — | $44.2k – $367.0k |
| 24 | ST. DAVID'S GEORGETOWN HOSPITAL Georgetown, TX fee schedule · inpatient | 3 | $79.3k | $117.3k | $83.1k | 71% | — | $44.2k – $367.0k |
| 25 | ST. DAVID'S MEDICAL CENTER Manor, TX fee schedule · inpatient | 3 | $79.3k | $117.3k | $83.1k | 71% | — | $44.2k – $367.0k |
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