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  5. /Percent of billed charges
HCPCS 15121

Partial thickness self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, or less

Reported by 14 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$111

Average

$763

Median

$386

High

$2.6k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Ukiah Adventist HospitalUkiah, CA$354$347$46—$66$425
2Sonora Community HospitalSonora, CA$382$387$8—$118$456
3Reedley Community HospitalReedley, CA$354$354——$4$439
4Adventist Health Mendocino CoastBragg, CA$443$443——$118$443
5Hanford Community HospitalHanford, CA$111$111——$50$439
6Willits Hospital IncWillits, CA$377$377——$55$456
7UPMC LititzLititz, PA$2.0k$2.1k$786—$117$3.6k
8UPMC HanoverHanover, PA$2.9k$2.6k$954—$206$3.7k
9UPMC CarlisleCarlisle, PA$2.1k$2.1k$820—$206$3.6k
10Children's National HospitalWashington, DC$386$386$35—$114$421
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