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
$467
Average
$40.6k
Median
$5.1k
High
$92.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
7 hospitals; the 90th percentile is 107.3× 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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10 hospital rates
iThe hospitals that file a Tricare 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 | 1 | $92.0k | $92.0k | — | — | — | $92.0k – $92.0k |
| 2 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $92.0k | $92.0k | — | — | — | $92.0k – $92.0k |
| 3 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $92.0k | $92.0k | — | — | — | $92.0k – $92.0k |
| 4 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $92.0k | $92.0k | — | — | — | $92.0k – $92.0k |
| 5 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $92.0k | $92.0k | — | — | — | $92.0k – $92.0k |
| 6 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $92.0k | $92.0k | — | — | — | $92.0k – $92.0k |
| 7 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $3.5k | $5.1k | $4.4k | 87% | — | $1.4k – $20.9k |
| 8 | KARMANOS CANCER CENTER DETROIT, MI fee schedule | 1 | $36 | $467 | $616 | 132% | — | $32 – $1.4k |
| 9 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.6k | $1.4k | 88% | — | $433 – $7.0k |
| 10 | ST MARTIN HOSPITAL INC Breaux Bridge, LA percent of total billed charges · outpatientfrom % of charges | 1 | $774 | $1.1k | $977 | 87% | — | $319 – $4.6k |
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