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
Trnsf Tissue Sclp/Arm/Lg 10-30cm
Low
$3
Average
$4.4k
Median
$3.3k
High
$35.1k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1066 hospitals; the 90th percentile is 6.4× 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
1,389 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 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 3 | $9.7k | $9.8k | $913 | 9% | 3–30 | $8.7k – $11.0k |
| 2 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.7k | $533 | 31% | 2–20 | $1.3k – $2.5k |
| 3 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.6k | $505 | 31% | 2–20 | $1.2k – $2.3k |
| 4 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 5 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 6 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.1k | $7.1k | — | — | 1–10 | $7.1k – $7.1k |
| 7 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · case rate · outpatient | 2 | $3.8k | $3.8k | $214 | 6% | 1–10 | $3.6k – $4.0k |
| 8 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4.6k | $4.6k | — | — | 1–10 | $4.6k – $4.6k |
| 9 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.1k | $7.1k | — | — | 1–10 | $7.1k – $7.1k |
| 10 | Memorial Hospital for Cancer and Allied Diseases Montvale, NJ fee schedule · outpatient | 1 | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 11 | Memorial Hospital for Cancer and Allied Diseases Middletown, NJ fee schedule · outpatient | 1 | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 12 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 1 | $7.0k | $7.0k | — | — | 1–10 | $7.0k – $7.0k |
| 13 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $7.0k | $7.0k | — | — | 1–10 | $7.0k – $7.0k |
| 14 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $4.2k | $4.2k | $514 | 12% | 1–10 | $3.7k – $4.7k |
| 15 | Parkland Health Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $17.0k | $17.3k | $3.3k | 19% | 1–10 | $13.0k – $22.2k |
| 16 | SAINT JOSEPH HOSPITAL, INC. DBA INTERMOUNTAIN NHEALTH SAINT JOSEPH HOSPITAL DENVER, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.1k | $7.1k | — | — | 1–10 | $7.1k – $7.1k |
| 17 | Saint Mary of Nazareth Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 18 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $9.7k | $9.7k | — | — | 1–10 | $9.7k – $9.7k |
| 19 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 20 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 3 | $2.4k | $2.6k | $326 | 12% | 1–10 | $2.4k – $3.1k |
| 21 | University of Virginia Medical Center Charlottesville, VA fee schedule · outpatient | 3 | $9.7k | $9.8k | $913 | 9% | 1–10 | $8.7k – $11.0k |
| 22 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $833 | $833 | — | — | — | $833 – $833 |
| 24 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $630 | $630 | — | — | — | $630 – $630 |
| 25 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $876 | $876 | — | — | — | $876 – $876 |
← Payers reporting CPT 14021 · Snapshot 20261112T124536Z-e251e855