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
$3
Average
$4.6k
Median
$3.6k
High
$33.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1098 hospitals; the 90th percentile is 5.8× 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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1,388 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 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 1 | $805 | $805 | — | — | 1–10 | $805 – $805 |
| 2 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 3 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT percent of total billed charges · outpatientfrom % of charges | 1 | $13.3k | $13.3k | — | — | 1–10 | $13.3k – $13.3k |
| 4 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 5 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 4 | $3.6k | $3.4k | $398 | 12% | 1–10 | $2.8k – $3.8k |
| 6 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN case rate · outpatient | 5 | $4.1k | $4.3k | $1.7k | 38% | 1–10 | $2.3k – $7.0k |
| 7 | Medical Park Hospital LLC Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 8 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 9 | Northside Hospital, Inc. Canton, GA other · outpatient | 5 | $1.2k | $2.1k | $2.4k | 112% | 1–10 | $649 – $7.5k |
| 10 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 11 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $4.4k | $4.4k | $530 | 12% | 1–10 | $3.8k – $4.9k |
| 12 | Parkland Health Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $17.9k | $18.8k | $4.2k | 23% | 1–10 | $13.2k – $27.1k |
| 13 | Phoenix Children's Hospital Phoenix, AZ facility · case rate · outpatient | 1 | $8.0k | $8.0k | — | — | 1–10 | $8.0k – $8.0k |
| 14 | SAINT JOSEPH HOSPITAL, INC. DBA INTERMOUNTAIN NHEALTH SAINT JOSEPH HOSPITAL DENVER, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 15 | UConn Health, Waterbury Hospital Waterbury, CT facility · other · outpatient | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 16 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 3 | $5.4k | $5.5k | $511 | 9% | 1–10 | $4.9k – $6.1k |
| 17 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $801 | $801 | — | — | — | $801 – $801 |
| 19 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $617 | $617 | — | — | — | $617 – $617 |
| 20 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $852 | $852 | — | — | — | $852 – $852 |
| 21 | AGH LAVEEN LLC Phoenix, AZ case rate · outpatient | 2 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 22 | AGH MESA LLC Mesa, AZ case rate · outpatient | 2 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $1.1k | $1.1k | $95 | 8% | — | $1.0k – $1.2k |
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