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
Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal
Low
$1.2k
Average
$3.5k
Median
$1.7k
High
$11.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
51 hospitals; the 90th percentile is 7.1× 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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51 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 2 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 3 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 4 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 10 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL case rate · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 12 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX case rate · outpatient | 3 | $1.6k | $1.5k | $254 | 17% | — | $1.1k – $1.7k |
| 13 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX case rate · outpatient | 3 | $1.6k | $1.5k | $254 | 17% | — | $1.1k – $1.7k |
| 14 | HCA HOUSTON HEALTHCARE WEST STAFFORD, TX case rate · outpatient | 3 | $1.6k | $1.5k | $254 | 17% | — | $1.1k – $1.7k |
| 15 | HCA Houston Healthcare North Cypress CYPRESS, TX case rate · outpatient | 3 | $1.6k | $1.5k | $254 | 17% | — | $1.1k – $1.7k |
| 16 | HEART HOSP OF AUSTIN Austin, TX case rate · outpatient | 3 | $8.8k | $9.2k | $766 | 8% | — | $8.6k – $10.3k |
| 17 | HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX case rate · outpatient | 3 | $8.8k | $9.2k | $766 | 8% | — | $8.6k – $10.3k |
| 18 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 19 | LOS ROBLES HOSPITAL AND MEDICAL CENTER THOUSAND OAKS, CA case rate · outpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 20 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 23 | MEMORIAL SATILLA HEALTH Waycross, GA case rate · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 24 | METHODIST HOSPITAL HELOTES, TX case rate · outpatient | 4 | $1.9k | $1.9k | $45 | 2% | — | $1.9k – $2.0k |
| 25 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX case rate · outpatient | 4 | $1.6k | $1.7k | $37 | 2% | — | $1.6k – $1.7k |
← Payers reporting HCPCS G0684 · Snapshot 20261113T090226Z-3ce6c0b8