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
Sub Grft F/S/N/H/F/G/M/D<100sq Cm Ea Addl25sq Cm
Low
$0
Average
$1.4k
Median
$183
High
$44.4k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 279 hospitals; the 90th percentile is 218.3× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Parkland Health Center Farmington, MO | $134 | $135 | $3 | 2% | 22 | $134 – $140 |
| 2 | Metro Knoxville HMA LLC Knoxville, TN | $716 | $4.8k | $6.1k | 128% | 1–10 | $45 – $15.1k |
| 3 | Self Regional Healthcare Greenwood, SC | $483 | $483 | — | — | 1–10 | $483 – $483 |
| 4 | Stony Brook University Hospital Stony Brook, NY | $26 | $166 | $494 | 297% | 1–10 | $26 – $1.9k |
| 5 | Appalachian Regional Healthcare, Inc. Hazard, KY | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 6 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $22 | $24 | $7 | 30% | — | $21 – $44 |
| 7 | St. Mary's Health, Inc. Evansville, IN | $381 | $377 | $43 | 11% | — | $283 – $443 |
| 8 | San Joaquin Community Hospital Bakersfield, CA | $22 | $28 | $9 | 31% | — | $22 – $49 |
| 9 | Laird Hospital, Inc. Union, MS | $143 | $145 | $8 | 6% | — | $125 – $163 |
| 10 | Progress West Hospital O'Fallon, MO | $436 | $437 | $312 | 71% | — | $125 – $777 |
Ask Claude or any MCP client for CPT 15276 pricing at a specific hospital — see how to connect.