CPT 15301
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
APPLY SKNALLOGRFT T/A/L ADDL
Prices here combine facility and professional fees. See them separately →Experimental
Low
$57
Average
$16.8k
Median
$14.5k
High
$37.0k
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter below to change the chart. 16 hospitals; the 90th percentile is 634.9× 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.
Click a bar to filter the hospitals table to that price range.
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northside Hospital, Inc. Lawrenceville, GA | $35k | $37.0k | $10.5k | 28% | — | $18.6k – $50k |
| 2 | Northside Hospital, Inc. Atlanta, GA | $32.4k | $30.6k | $6.3k | 21% | — | $18.6k – $37.5k |
| 3 | AnMed Health Cannon Pickens, SC | $47 | $57 | $54 | 96% | — | $7 – $213 |
| 4 | Fairfield Medical Center Lancaster, OH | $26.1k | $27.9k | $3.2k | 12% | — | $25.9k – $33.5k |
| 5 | Northside Hospital, Inc. Cumming, GA | $32.4k | $30.6k | $6.3k | 21% | — | $18.6k – $37.5k |
| 6 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Covenant Medical Center Inc Saginaw, MI | $53 | $61 | $16 | 25% | — | $44 – $87 |
| 8 | Hsa Pgh Llc Hialeah, FL | $35k | $35k | — | — | — | $35k – $35k |
| 9 | Hsa Cgh Llc Coral Gables, FL | $35k | $35k | — | — | — | $35k – $35k |
| 10 | Covenant Medical Center Inc Saginaw, MI | $53 | $61 | $16 | 25% | — | $44 – $87 |
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