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
Skin Substitute Graft 25 Sq CM
Low
$10
Average
$2.6k
Median
$1.9k
High
$30.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1298 hospitals; the 90th percentile is 9.8× 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.
Filter by billing methodology
Filter by billing class
2,156 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Saint Luke’s North Hospital Smithville, MO percent of total billed charges · bothfrom % of charges | 18 | $2.7k | $3.1k | $769 | 25% | 83–461 | $2.2k – $4.4k |
| 2 | Saint Luke’s North Hospital City, KS percent of total billed charges · bothfrom % of charges | 18 | $2.7k | $3.1k | $769 | 25% | 83–461 | $2.2k – $4.4k |
| 3 | Saint Luke’s Hospital of Trenton Trenton, MO percent of total billed charges · outpatientfrom % of charges | 1 | $5.5k | $5.5k | — | — | 59–68 | $5.5k – $5.5k |
| 4 | Saint Luke’s Hospital of Trenton Trenton, MO percent of total billed charges · bothfrom % of charges | 19 | $5.5k | $5.7k | $552 | 10% | 58 | $4.7k – $6.9k |
| 5 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $355 | $338 | $58 | 17% | 44 | $245 – $397 |
| 6 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $336 | $320 | $55 | 17% | 44 | $232 – $376 |
| 7 | Saint Luke’s North Hospital Smithville, MO percent of total billed charges · outpatientfrom % of charges | 4 | $4.1k | $4.0k | $638 | 16% | 44–71 | $3.0k – $5.0k |
| 8 | Saint Luke’s North Hospital City, KS percent of total billed charges · outpatientfrom % of charges | 4 | $4.1k | $4.0k | $638 | 16% | 44–71 | $3.0k – $5.0k |
| 9 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 18 | $2.8k | $3.4k | $886 | 26% | 42–420 | $2.4k – $4.9k |
| 10 | Saint Luke’s Hospital of Chillicothe Chillicothe, MO percent of total billed charges · bothfrom % of charges | 18 | $5.5k | $5.6k | $576 | 10% | 34–124 | $4.7k – $6.9k |
| 11 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 8 | $500 | $672 | $345 | 51% | 33 | $185 – $1.3k |
| 12 | Saint Luke’s Hospital of Chillicothe Chillicothe, MO percent of total billed charges · outpatientfrom % of charges | 2 | $8.0k | $8.0k | $2.5k | 32% | 25–34 | $5.5k – $10.5k |
| 13 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · bothfrom % of charges | 18 | $2.7k | $3.1k | $769 | 25% | 21–210 | $2.2k – $4.4k |
| 14 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 1 | $806 | $806 | — | — | 21 | $806 – $806 |
| 15 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $273 | $1.3k | $1.6k | 124% | 20 | $55 – $3.7k |
| 16 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $2.9k | $2.6k | $862 | 33% | 19–28 | $680 – $3.2k |
| 17 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.7k | $3.7k | $2.3k | 62% | 19–28 | $1.4k – $6.0k |
| 18 | Progress West Hospital O'Fallon, MO other · outpatient | 1 | $740 | $740 | — | — | 19–28 | $740 – $740 |
| 19 | Northfield Hospital Northfield, MN other · both | 1 | $3.8k | $3.8k | — | — | 18 | $3.8k – $3.8k |
| 20 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 2 | $2.1k | $2.1k | $255 | 12% | 18–27 | $1.1k – $2.3k |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · outpatient | 2 | $1.8k | $1.8k | $121 | 7% | 18–27 | $1.1k – $1.8k |
| 22 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 4 | $2.1k | $2.1k | $306 | 15% | 18–36 | $1.6k – $2.4k |
| 23 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC fee schedule · both | 3 | $278 | $404 | $178 | 44% | 13–22 | $278 – $656 |
| 24 | Samaritan Hospital Troy, NY facility · other · both | 3 | $4.8k | $4.7k | $490 | 10% | 11 | $3.8k – $5.9k |
| 25 | Samaritan Hospital Troy, NY facility · other · outpatient | 3 | $4.8k | $4.7k | $490 | 10% | 11 | $3.8k – $5.9k |
← Payers reporting CPT 15275 · Snapshot 20261111T120946Z-9134e7f7