CPT 15777
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
PROF ACELLULAR DERM MATRIX IMP
Low
$1
Average
$2.3k
Median
$1.3k
High
$67.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1213 hospitals; the 90th percentile is 21.4× 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.
Filter by billing methodology
Filter by billing class
1,551 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 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 1 | $21.1k | $21.1k | — | — | 47 | $21.1k – $21.1k |
| 2 | Memorial Hospital for Cancer and Allied Diseases Hauppauge, NY fee schedule · outpatient | 1 | $21.1k | $21.1k | — | — | 47 | $21.1k – $21.1k |
| 3 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $1.7k | $1.6k | $149 | 9% | 12–21 | $1.4k – $1.8k |
| 4 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL case rate · outpatient | 2 | $183 | $183 | — | — | 6–60 | $183 – $183 |
| 5 | WEST KENDALL BAPTIST HOSPITAL Miami, FL case rate · outpatient | 2 | $183 | $183 | — | — | 6–60 | $183 – $183 |
| 6 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · outpatientfrom % of charges | 3 | $943 | $2.7k | $3.6k | 135% | 5–50 | $800 – $10.0k |
| 7 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL case rate · outpatient | 1 | $148 | $148 | — | — | 3–30 | $148 – $148 |
| 8 | Cumberland County Hospital System Inc Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $227 | $321 | 141% | 3–30 | $0 – $680 |
| 9 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN fee schedule · outpatient | 9 | $1.0k | $4.1k | $6.1k | 148% | 2–20 | $635 – $19.6k |
| 10 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI case rate · outpatient | 1 | $1.0k | $1.0k | — | — | 2–20 | $1.0k – $1.0k |
| 11 | Saint Luke’s South Hospital, Inc Leawood, KS percent of total billed charges · outpatientfrom % of charges | 2 | $2.5k | $2.5k | $1.8k | 74% | 2–20 | $643 – $4.3k |
| 12 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | $421 | 28% | 2–20 | $1.1k – $1.9k |
| 13 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 3 | $1.8k | $4.5k | $4.7k | 106% | 2–20 | $1.6k – $12.7k |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 2 | $2.3k | $2.3k | $1.1k | 45% | 1–10 | $1.3k – $3.4k |
| 15 | ALEGENT CREIGHTON HEALTH Omaha, NE percent of total billed charges · outpatientfrom % of charges | 1 | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 16 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $919 | $919 | — | — | 1–10 | $919 – $919 |
| 17 | Columbus Regional Hospital Columbus, IN percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 18 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · outpatient | 2 | $210 | $210 | — | — | 1–10 | $210 – $210 |
| 19 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · case rate · outpatient | 1 | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 20 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · case rate · outpatient | 2 | $2.3k | $2.3k | $1.1k | 49% | 1–10 | $1.2k – $3.5k |
| 21 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · case rate · outpatient | 2 | $2.3k | $2.3k | $1.1k | 47% | 1–10 | $1.2k – $3.3k |
| 22 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · case rate · outpatient | 2 | $2.3k | $2.3k | $1.1k | 49% | 1–10 | $1.2k – $3.5k |
| 23 | Henry Ford Health System Plymouth, MI facility · case rate · outpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 24 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 1 | $43.2k | $43.2k | — | — | 1–10 | $43.2k – $43.2k |
| 25 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
← Payers reporting CPT 15777 · Snapshot 20261113T090226Z-3ce6c0b8