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
$5.4k
Median
$4.2k
High
$33.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1355 hospitals; the 90th percentile is 11.3× 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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1,999 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $5.3k | $5.1k | $476 | 9% | 3–30 | $4.4k – $5.7k |
| 2 | Fairview Health Services Minneapolis, MN other · inpatient | 3 | $2.3k | $2.2k | $73 | 3% | 3–30 | $2.1k – $2.3k |
| 3 | Manhattan Surgical Hospital LLC Manhattan, KS facility · fee schedule · both | 2 | $1.7k | $1.7k | $250 | 15% | 2–20 | $1.4k – $1.9k |
| 4 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | 2–20 | $4.5k – $4.5k |
| 5 | Saint Luke’s North Hospital Smithville, MO case rate · outpatient | 2 | $5.2k | $5.2k | $3.0k | 57% | 2–20 | $2.2k – $8.2k |
| 6 | Saint Luke’s North Hospital City, KS case rate · outpatient | 2 | $5.2k | $5.2k | $3.0k | 57% | 2–20 | $2.2k – $8.2k |
| 7 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 4 | $16.1k | $14.2k | $6.9k | 49% | 2–20 | $5.4k – $24.7k |
| 8 | Boston Medical Center Boston, MA fee schedule · both | 1 | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 9 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · case rate · outpatient | 1 | $15.8k | $15.8k | — | — | 1–10 | $15.8k – $15.8k |
| 10 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · case rate · outpatient | 2 | $7.5k | $7.5k | $6.4k | 84% | 1–10 | $1.2k – $13.9k |
| 11 | HMH HOSPITALS CORPORATION Perth Amboy, NJ facility · case rate · outpatient | 2 | $7.5k | $7.5k | $6.4k | 84% | 1–10 | $1.2k – $13.9k |
| 12 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $38.9k | $38.9k | $194 | 0% | 1–10 | $38.7k – $39.1k |
| 13 | Loyola University Medical Center Maywood, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4.1k | $4.1k | $81 | 2% | 1–10 | $4.0k – $4.2k |
| 14 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 15 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12.6k | $12.6k | — | — | 1–10 | $12.6k – $12.6k |
| 16 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.2k | $5.2k | — | — | 1–10 | $5.2k – $5.2k |
| 17 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $21.9k | $21.9k | — | — | 1–10 | $21.9k – $21.9k |
| 18 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 19 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · outpatient | 2 | $8.0k | $8.0k | $2.0k | 25% | 1–10 | $6.1k – $10.0k |
| 20 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI case rate · outpatient | 1 | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 21 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.7k | $4.7k | — | — | 1–10 | $4.7k – $4.7k |
| 22 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $7.2k | $7.2k | — | — | 1–10 | $7.2k – $7.2k |
| 23 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 2 | $4.7k | $4.7k | $3.1k | 65% | 1–10 | $1.7k – $7.8k |
| 24 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 25 | The University of Texas Medical Branch Webster, TX fee schedule · inpatient | 2 | $301 | $301 | $55 | 18% | 1–10 | $246 – $355 |
← Payers reporting CPT 15769 · Snapshot 20261112T124536Z-e251e855