Skin substitute graft application to trunk, arms, or legs

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC APPLY SKIN SUB > 100 SQ CM, EA ADDTNL 25CM LOW COST

Aetna Better Health pricing summary

Low

$29

Average

$571

Median

$240

High

$4.5k

Aetna Better Health rate distribution

Filter by billing methodology

Filter by billing class

50 hospital rates

#		Plans
1	Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient	2	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
2	Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient	2	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
3	Carle BroMenn Medical Center Normal, IL fee schedule · inpatient	1	$37	$37	—	—	—	$37 – $37
4	Carle BroMenn Medical Center Normal, IL fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37
5	Carle Eureka Hospital Eureka, IL fee schedule · inpatient	1	$37	$37	—	—	—	$37 – $37
6	Carle Eureka Hospital Eureka, IL fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37
7	CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges	1	$106	$106	—	—	—	$106 – $106
8	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	1	$34	$34	—	—	—	$34 – $34
9	EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient	1	$182	$182	—	—	—	$182 – $182
10	Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges	1	$29	$29	—	—	—	$29 – $29
11	Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · inpatient	1	$37	$37	—	—	—	$37 – $37
12	Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37
13	Inspira Health Center Bridgeton Bridgeton, NJ percent of total billed charges · outpatientfrom % of charges	1	$258	$258	—	—	—	$258 – $258
14	Inspira Health Center Woodbury Woodbury, NJ percent of total billed charges · outpatientfrom % of charges	1	$258	$258	—	—	—	$258 – $258
15	Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges	1	$273	$273	—	—	—	$273 – $273
16	Inspira Medical Center Mannington Salem, NJ percent of total billed charges · outpatientfrom % of charges	1	$273	$273	—	—	—	$273 – $273
17	Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges	1	$273	$273	—	—	—	$273 – $273
18	Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges	1	$258	$258	—	—	—	$258 – $258
19	Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient	1	$37	$37	—	—	—	$37 – $37
20	Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37
21	Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges	1	$307	$307	—	—	—	$307 – $307
22	Newton Medical Center Newton, NJ percent of total billed charges · bothfrom % of charges	1	$221	$221	—	—	—	$221 – $221
23	OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient	1	$118	$118	$30	25%	—	$88 – $148
24	OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC Shreveport, LA other · outpatient	1	$240	$240	—	—	—	$240 – $240
25	OCHSNER MEDICAL CENTER � KENNER LLC Kenner, LA other · outpatient	1	$66	$66	—	—	—	$66 – $66