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
$10
Average
$5.0k
Median
$4.1k
High
$21.3k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 9.3× 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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26 hospital rates
iThe hospitals that file a Carefirst 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 2 | Children's National Hospital Washington, DC facility · fee schedule · outpatient | 2 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 3 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $500 | $488 | $28 | 6% | — | $450 – $515 |
| 4 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 3 | $898 | $773 | $211 | 27% | — | $516 – $967 |
| 5 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $5.5k | $5.5k | $27 | 0% | — | $5.5k – $5.6k |
| 6 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $5.5k | $5.5k | $27 | 0% | — | $5.5k – $5.6k |
| 7 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $5.5k | $5.5k | $27 | 0% | — | $5.5k – $5.6k |
| 8 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $5.5k | $5.5k | $27 | 0% | — | $5.5k – $5.6k |
| 9 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $5.5k | $5.5k | $27 | 0% | — | $5.5k – $5.6k |
| 10 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 11 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 12 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Mount Carmel St Ann's Lewis Center, OH facility · other · outpatient | 1 | $21.3k | $21.3k | — | — | — | $21.3k – $21.3k |
| 14 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $4.3k | $4.3k | $304 | 7% | — | $4.0k – $4.6k |
| 15 | RESTON HOSPITAL CENTER Reston, VA case rate · outpatient | 2 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 16 | STONESPRINGS HOSPITAL CENTER Dulles, VA case rate · outpatient | 2 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 17 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 3 | $341 | $335 | $143 | 43% | — | $186 – $478 |
| 18 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 3 | $341 | $335 | $143 | 43% | — | $186 – $478 |
| 19 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · outpatient | 1 | $14.2k | $14.2k | $2.1k | 15% | — | $12.1k – $16.3k |
| 20 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 3 | $312 | $285 | $107 | 37% | — | $155 – $389 |
| 22 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient | 3 | $312 | $285 | $107 | 37% | — | $155 – $389 |
| 23 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 24 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 25 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · both | 2 | $4.7k | $4.7k | $295 | 6% | — | $4.4k – $5.0k |
← Payers reporting CPT 15769 · Snapshot 20261112T124536Z-e251e855