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
$278
Average
$2.8k
Median
$2.8k
High
$6.5k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
109 hospitals; the 90th percentile is 3.7× 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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191 hospital rates
iThe hospitals that file a Medica 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 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $5.3k | $4.7k | $1.0k | 21% | 1–10 | $2.8k – $5.4k |
| 3 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.1k | $7.1k | — | — | 1–10 | $7.1k – $7.1k |
| 4 | WEST KENDALL BAPTIST HOSPITAL Miami, FL fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 5 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 3 | $4.8k | $5.0k | $1.2k | 25% | — | $3.6k – $6.5k |
| 6 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 3 | $4.8k | $5.0k | $1.2k | 25% | — | $3.6k – $6.5k |
| 8 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 3 | $4.8k | $5.0k | $1.2k | 25% | — | $3.6k – $6.5k |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 12 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 3 | $4.8k | $5.0k | $1.2k | 25% | — | $3.6k – $6.5k |
| 13 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE case rate · outpatient | 3 | $4.8k | $5.0k | $1.2k | 25% | — | $3.6k – $6.5k |
| 15 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Alton Memorial Hospital Alton, IL other · outpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 17 | Alton Memorial Hospital Alton, IL percent of total billed charges · bothfrom % of charges | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 18 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $1.5k | $1.8k | $1.7k | 93% | — | $406 – $5.9k |
| 19 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $1.5k | $1.8k | $1.7k | 93% | — | $406 – $5.9k |
| 20 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 4 | $1.8k | $1.5k | $827 | 54% | — | $563 – $2.8k |
| 21 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 22 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $1.6k | $99 | 6% | — | $1.5k – $1.6k |
| 23 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 24 | Barnes Jewish Hospital St. Louis, MO other · outpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 25 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
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