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
$1
Average
$2.9k
Median
$1.4k
High
$35k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
148 hospitals; the 90th percentile is 26.2× 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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174 hospital rates
iThe hospitals that file a MultiPlan 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 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $443 | $443 | — | — | — | $443 – $443 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $720 | $720 | — | — | — | $720 – $720 |
| 3 | Adventhealth Gordon Calhoun, GA fee schedule · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 4 | Adventhealth Murray Chatsworth, GA fee schedule · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 5 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO case rate · outpatient | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 6 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient | 1 | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 8 | Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient | 1 | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 9 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $525 | $519 | $96 | 18% | — | $399 – $634 |
| 10 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $525 | $519 | $96 | 18% | — | $399 – $634 |
| 11 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 12 | Bronson Battle Creek Hospital Battle Creek, MI professional · fee schedule · both | 1 | $235 | $235 | — | — | — | $235 – $235 |
| 13 | CENTERPOINT MEDICAL CENTER Independence, MO case rate · outpatient | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 14 | CHI MEMORIAL HOSPITAL - GEORGIA Ringgold, GA case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 15 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 16 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $479 | $479 | — | — | — | $479 – $479 |
| 17 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 18 | Children's Mercy Hospital Kansas City, MO professional · fee schedule · inpatient | 1 | $310 | $310 | — | — | — | $310 – $310 |
| 19 | Children's Mercy Hospital Kansas City, MO professional · fee schedule · outpatient | 1 | $310 | $310 | — | — | — | $310 – $310 |
| 20 | Children's Mercy Hospital Kansas Overland Park, KS professional · fee schedule · inpatient | 1 | $310 | $310 | — | — | — | $310 – $310 |
| 21 | Children's Mercy Hospital Kansas Overland Park, KS professional · fee schedule · outpatient | 1 | $310 | $310 | — | — | — | $310 – $310 |
| 22 | City of Hope National Medical Center Duarte, CA percent of total billed charges · outpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 23 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $720 | $720 | — | — | — | $720 – $720 |
| 24 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 25 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $268 | $268 | — | — | — | $268 – $268 |
← Payers reporting CPT 15121 · Snapshot 20261113T090226Z-3ce6c0b8