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
$1
Average
$1.3k
Median
$1.1k
High
$12.5k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
763 hospitals; the 90th percentile is 29.8× 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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1,117 hospital rates
iThe hospitals that file a Molina 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 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $745 | $745 | — | — | 17 | $745 – $745 |
| 2 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $745 | $745 | — | — | 17 | $745 – $745 |
| 3 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $103 | $103 | $47 | 46% | 14 | $56 – $150 |
| 4 | MIDSTATE MEDICAL CENTER MERIDEN, CT percent of total billed charges · outpatientfrom % of charges | 2 | $10.0k | $11.1k | $5.1k | 46% | 3–30 | $5.4k – $17.9k |
| 5 | 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 | 2 | $9.7k | $9.7k | $3.3k | 34% | 2–20 | $6.4k – $13.0k |
| 6 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | $128 | 12% | 2–20 | $945 – $1.2k |
| 7 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 1 | $144 | $144 | — | — | 1–10 | $144 – $144 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $704 | $704 | — | — | 1–10 | $704 – $704 |
| 9 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · outpatient | 1 | $704 | $704 | — | — | 1–10 | $704 – $704 |
| 10 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $302 | $302 | — | — | 1–10 | $302 – $302 |
| 11 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 2 | $1.5k | $1.5k | $169 | 11% | 1–10 | $1.4k – $1.7k |
| 12 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $722 | $722 | — | — | 1–10 | $722 – $722 |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · outpatient | 1 | $722 | $722 | — | — | 1–10 | $722 – $722 |
| 14 | Methodist Hospitals of Dallas Dallas, TX percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 15 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $733 | $733 | — | — | 1–10 | $733 – $733 |
| 16 | Mount Carmel St Ann's Lewis Center, OH facility · other · outpatient | 1 | $733 | $733 | — | — | 1–10 | $733 – $733 |
| 17 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC fee schedule · both | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 18 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · both | 2 | $1.3k | $1.3k | $539 | 40% | 1–10 | $806 – $1.9k |
| 19 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · outpatient | 2 | $1.3k | $1.3k | $539 | 40% | 1–10 | $806 – $1.9k |
| 20 | Spencer Municipal Hospital Spencer, IA case rate · both | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 21 | Spencer Municipal Hospital Spencer, IA case rate · outpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 22 | University Of Miami Hosp & Clinics Miami, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $803 | $803 | — | — | 1–10 | $803 – $803 |
| 23 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $287 | $287 | $3 | 1% | 1–10 | $284 – $290 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
← Payers reporting CPT 15275 · Snapshot 20261111T120946Z-9134e7f7