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
$1
Average
$2.8k
Median
$2.3k
High
$24.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1433 hospitals; the 90th percentile is 5.9× 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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2,302 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 2 | $2.2k | $2.2k | $107 | 5% | 4–40 | $2.1k – $2.3k |
| 2 | Samaritan Medical Center Watertown, NY professional · other · both | 2 | $2.2k | $2.2k | $107 | 5% | 4–40 | $2.1k – $2.3k |
| 3 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 2 | $3.2k | $3.2k | $319 | 10% | 2–20 | $2.8k – $3.5k |
| 4 | Samaritan Medical Center Watertown, NY facility · other · outpatient | 1 | $2.3k | $2.3k | — | — | 2–20 | $2.3k – $2.3k |
| 5 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $5.0k | $5.0k | — | — | 1–10 | $5.0k – $5.0k |
| 6 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL case rate · outpatient | 1 | $4.7k | $4.7k | — | — | 1–10 | $4.7k – $4.7k |
| 7 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $1.6k | $855 | 53% | 1–10 | $752 – $2.5k |
| 8 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $1.6k | $855 | 53% | 1–10 | $752 – $2.5k |
| 9 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · case rate · outpatient | 2 | $4.4k | $4.4k | $3.2k | 73% | 1–10 | $1.2k – $7.6k |
| 10 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 5 | $2.8k | $2.6k | $397 | 15% | 1–10 | $1.8k – $2.9k |
| 11 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 5 | $2.8k | $2.6k | $397 | 15% | 1–10 | $1.8k – $2.9k |
| 12 | Lake Regional Health System Osage Beach, MO fee schedule · both | 2 | $1.9k | $1.9k | $288 | 15% | 1–10 | $1.6k – $2.2k |
| 13 | Loyola University Medical Center Maywood, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.0k | $2.0k | $40 | 2% | 1–10 | $2.0k – $2.1k |
| 14 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 15 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 16 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 17 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.1k | $7.1k | — | — | 1–10 | $7.1k – $7.1k |
| 18 | Samaritan Hospital Troy, NY facility · other · outpatient | 3 | $5.9k | $5.9k | $2.6k | 45% | 1–10 | $2.6k – $9.0k |
| 19 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 1 | $1.6k | $1.6k | $702 | 43% | 1–10 | $936 – $2.3k |
| 20 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $11.0k | $11.0k | — | — | 1–10 | $11.0k – $11.0k |
| 21 | The Mercy Hospital Inc Springfield, MA facility · other · outpatient | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 22 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $2.6k | $2.8k | $499 | 18% | 1–10 | $2.4k – $3.5k |
| 23 | Vanderbilt Bedford Hospital Shelbyville, TN percent of total billed charges · bothfrom % of charges | 18 | $1.4k | $1.9k | $645 | 34% | 1–10 | $1.4k – $3.0k |
| 24 | WEST KENDALL BAPTIST HOSPITAL Miami, FL case rate · outpatient | 1 | $402 | $402 | — | — | 1–10 | $402 – $402 |
| 25 | WINDHAM COMMUNITY MEMORIAL HOSPITAL INC WILLIMANTIC, CT other · outpatient | 1 | $843 | $843 | — | — | 1–10 | $843 – $843 |
← Payers reporting CPT 14021 · Snapshot 20261112T124536Z-e251e855