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
Grafting of Autologous Soft Tiss by Direct Exc
Low
$1
Average
$6.9k
Median
$4.8k
High
$55.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
839 hospitals; the 90th percentile is 11.2× 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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1,081 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 | Massachusetts Eye and Ear Boston, MA other · outpatient | 1 | $3.3k | $3.3k | — | — | 41 | $3.3k – $3.3k |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $8.2k | $12.5k | $7.7k | 61% | 24–42 | $6.1k – $23.4k |
| 3 | Manhattan Surgical Hospital LLC Manhattan, KS facility · fee schedule · both | 1 | $1.7k | $1.7k | — | — | 11 | $1.7k – $1.7k |
| 4 | Medical Park Hospital LLC Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $1.8k | $1.7k | $232 | 14% | 3–30 | $1.3k – $1.8k |
| 5 | Boston Medical Center Boston, MA fee schedule · both | 1 | $3.3k | $3.3k | — | — | 2–20 | $3.3k – $3.3k |
| 6 | Brigham and Women's Faulkner Hospital Boston, MA other · outpatient | 2 | $3.3k | $3.3k | — | — | 2–20 | $3.3k – $3.3k |
| 7 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $2.7k | $2.7k | — | — | 2–20 | $2.7k – $2.7k |
| 8 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.3k | $2.3k | $1.9k | 82% | 2–20 | $429 – $4.2k |
| 9 | Saint Luke’s North Hospital Smithville, MO percent of total billed charges · outpatientfrom % of charges | 2 | $5.5k | $5.5k | $1.3k | 24% | 2–20 | $4.1k – $6.8k |
| 10 | Saint Luke’s North Hospital City, KS percent of total billed charges · outpatientfrom % of charges | 2 | $5.5k | $5.5k | $1.3k | 24% | 2–20 | $4.1k – $6.8k |
| 11 | The University of Texas Medical Branch Webster, TX fee schedule · inpatient | 5 | $225 | $250 | $51 | 20% | 2–20 | $220 – $351 |
| 12 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 2 | $5.6k | $5.6k | $561 | 10% | 2–20 | $5.0k – $6.1k |
| 13 | Betsy Johnson Hospital Dunn, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 14 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 15 | Mayo Clinic Rochester, MN facility · case rate · outpatient | 1 | $6.6k | $6.6k | — | — | 1–10 | $6.6k – $6.6k |
| 16 | Mayo Clinic Rochester, MN facility · other · outpatient | 3 | $7.3k | $7.3k | $91 | 1% | 1–10 | $7.1k – $7.3k |
| 17 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $3.7k | $3.8k | $124 | 3% | 1–10 | $3.6k – $4.0k |
| 18 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 19 | Mayo Clinic Florida Jacksonville, FL facility · fee schedule · both | 4 | $13.6k | $13.3k | $544 | 4% | 1–10 | $12.2k – $13.6k |
| 20 | Mayo Clinic Florida Jacksonville, FL facility · fee schedule · outpatient | 4 | $13.6k | $13.3k | $544 | 4% | 1–10 | $12.2k – $13.6k |
| 21 | Mayo Clinic Health System Mankato 56001-4752 facility · case rate · outpatient | 1 | $6.5k | $6.5k | — | — | 1–10 | $6.5k – $6.5k |
| 22 | Mercy Health Saint Marys Rockford, MI facility · other · outpatient | 2 | $4.5k | $4.5k | $1.2k | 27% | 1–10 | $3.3k – $5.8k |
| 23 | Phoenix Children's Hospital Phoenix, AZ facility · case rate · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 24 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · outpatientfrom % of charges | 1 | $7.5k | $7.5k | — | — | 1–10 | $7.5k – $7.5k |
| 25 | Saint Luke’s South Hospital, Inc Leawood, KS percent of total billed charges · outpatientfrom % of charges | 1 | $12.6k | $12.6k | — | — | 1–10 | $12.6k – $12.6k |
← Payers reporting CPT 15769 · Snapshot 20261112T124536Z-e251e855