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 Split Face 1st 100 Sq Cm Chld
Low
$340
Average
$4.9k
Median
$4.3k
High
$17.2k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
397 hospitals; the 90th percentile is 7.4× 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.
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639 hospital rates
iThe hospitals that file a Anthem 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 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI case rate · outpatient | 2 | $6.2k | $6.2k | $1.8k | 29% | 4–40 | $4.4k – $8.0k |
| 2 | University of Virginia Medical Center Charlottesville, VA other · both | 2 | $10.6k | $9.8k | $1.2k | 13% | 2–20 | $8.0k – $10.6k |
| 3 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.6k | $1.5k | $162 | 11% | 1–10 | $1.3k – $1.6k |
| 4 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 5 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 6 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $8.2k | $8.2k | — | — | 1–10 | $8.2k – $8.2k |
| 7 | IOM Health System LP Fort Wayne, IN facility · other · outpatient | 3 | $6.0k | $5.1k | $1.6k | 31% | 1–10 | $1.7k – $6.0k |
| 8 | Mishawaka Medical Center Mishawaka, IN facility · other · outpatient | 2 | $13.2k | $12.6k | $2.4k | 19% | 1–10 | $3.7k – $13.2k |
| 9 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT case rate · outpatient | 2 | $8.9k | $8.9k | $1.3k | 14% | 1–10 | $7.6k – $10.2k |
| 10 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $6.0k | $6.5k | $1.4k | 22% | 1–10 | $5.1k – $8.4k |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $3.4k | $4.8k | $3.7k | 78% | — | $1.1k – $9.9k |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $1.7k | $1.7k | $842 | 50% | — | $598 – $2.8k |
| 16 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 17 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $650 | $664 | $180 | 27% | — | $448 – $910 |
| 18 | Adena Health System Chillicothe, OH facility · case rate · outpatient | 4 | $12.6k | $12.8k | $1.6k | 13% | — | $11.0k – $15.1k |
| 19 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 3 | $9.4k | $8.3k | $3.4k | 41% | — | $3.7k – $11.8k |
| 20 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 2 | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 21 | Anderson Hospital Maryville, IL facility · case rate · outpatient | 1 | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 22 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $717 | $717 | — | — | — | $717 – $717 |
| 23 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $717 | $717 | — | — | — | $717 – $717 |
| 24 | Ascension NE Wisconsin, Inc. Oshkosh, WI fee schedule · outpatient | 4 | $717 | $717 | — | — | — | $717 – $717 |
| 25 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 3 | $588 | $588 | — | — | — | $588 – $588 |
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