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
Split Grft,Head,Fac,Hand,Feet Ea 100 Sqcm
Low
$83
Average
$1.7k
Median
$907
High
$8.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 20.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +29 other terms | 390 | $1.7k | $1.8k | $1.5k | 85% | — | $1 – $22.4k |
| 2 | Aetna case rate · outpatient · +26 other terms | 261 | $3.5k | $4.1k | $2.5k | 61% | — | $183 – $25.2k |
| 3 | Oscar case rate · outpatient · +16 other terms | 129 | $2.6k | $2.7k | $762 | 28% | — | $990 – $7.5k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 116 | $1.6k | $3.3k | $4.5k | 135% | — | $0 – $39.1k |
| 5 | Humana case rate · outpatient · +25 other terms | 112 | $3.1k | $4.0k | $2.2k | 56% | — | $185 – $9.3k |
| 6 | Cigna fee schedule · outpatient · +22 other terms | 93 | $253 | $3.4k | $3.4k | 100% | — | $114 – $20.7k |
| 7 | Anthem fee schedule · outpatient · +16 other terms | 90 | $183 | $381 | $484 | 127% | — | $97 – $5.2k |
| 8 | Molina case rate · outpatient · +17 other terms | 88 | $2.3k | $2.3k | $756 | 33% | — | $185 – $3.2k |
| 9 | Healthcare Highways case rate · outpatient | 42 | $5.8k | $8.0k | $5.3k | 66% | — | $2.0k – $14.6k |
| 10 | Kaiser fee schedule · outpatient · +14 other terms | 40 | $125 | $139 | $46 | 33% | — | $50 – $229 |
| 11 | Amerihealth Caritas case rate · outpatient · +9 other terms | 33 | $567 | $2.0k | $1.4k | 67% | — | $536 – $4.0k |
| 12 | MultiPlan case rate · outpatient · +18 other terms | 33 | $5.7k | $6.6k | $2.4k | 36% | — | $2.8k – $11.5k |
| 13 | Superior Healthplan case rate · outpatient · +2 other terms | 33 | $948 | $944 | $8 | 1% | — | $929 – $948 |
| 14 | WellCare fee schedule · both · +13 other terms | 32 | $129 | $178 | $193 | 108% | — | $97 – $1.3k |
| 15 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $1.4k | $1.3k | $288 | 23% | — | $422 – $1.6k |
| 16 | Medica case rate · outpatient · +13 other terms | 26 | $1.3k | $1.1k | $677 | 60% | — | $320 – $2.9k |
| 17 | Ambetter case rate · outpatient · +11 other terms | 22 | $2.2k | $2.3k | $505 | 22% | — | $280 – $4.0k |
| 18 | Caresource facility · case rate · outpatient · +10 other terms | 21 | $1.3k | $1.1k | $609 | 57% | — | $183 – $2.3k |
| 19 | Devoted fee schedule · outpatient · +8 other terms | 21 | $203 | $170 | $38 | 23% | — | $125 – $203 |
| 20 | Regence professional · fee schedule · outpatient · +8 other terms | 21 | $165 | $178 | $67 | 38% | — | $129 – $520 |
| 21 | Phcs fee schedule · outpatient · +12 other terms | 20 | $2.3k | $3.3k | $2.2k | 66% | — | $1.3k – $6.3k |
| 22 | Aetna Better Health case rate · outpatient · +9 other terms | 19 | $550 | $552 | $11 | 2% | — | $536 – $567 |
| 23 | Bcbs La fee schedule · outpatient · +2 other terms | 19 | $4.8k | $4.6k | $1.2k | 27% | — | $0 – $6.6k |
| 24 | Medicare fee schedule · outpatient · +7 other terms | 18 | $125 | $123 | $3 | 3% | — | $114 – $128 |
| 25 | Optum professional · fee schedule · outpatient · +11 other terms | 16 | $205 | $166 | $55 | 33% | — | $78 – $226 |
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