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
GRAFT SOFT TISSUE 16X10CM TUTOPATCH BOVINE PERICARDIUM STERILE LATEX FREE
Low
$23
Average
$3.2k
Median
$1.8k
High
$15.9k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
51 hospitals; the 90th percentile is 12.3× 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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55 hospital rates
iThe hospitals that file a Optum 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 | $874 | $874 | — | — | — | $874 – $874 |
| 2 | Banner Churchill Community Hospital Fallon, NV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 3 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 3 | $1.3k | $1.8k | $904 | 51% | — | $907 – $3.3k |
| 4 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $940 | $940 | — | — | — | $940 – $940 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $961 | $961 | — | — | — | $961 – $961 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $2.8k | $4.3k | $3.9k | 90% | — | $942 – $13.7k |
| 9 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $2.9k | $2.8k | $1.3k | 46% | — | $774 – $4.7k |
| 10 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 1 | $457 | $457 | — | — | — | $457 – $457 |
| 11 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $419 | $419 | $176 | 42% | — | $244 – $595 |
| 12 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $903 | $903 | — | — | — | $903 – $903 |
| 13 | HCA FLORIDA LARGO HOSPITAL CLEARWATER, FL percent of total billed charges · outpatientfrom % of charges | 1 | $9.4k | $10.8k | $6.8k | 63% | — | $3.7k – $28.4k |
| 14 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $448 | $926 | $1.5k | 157% | — | $4 – $8.0k |
| 15 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $7.1k | $10.4k | $11.5k | 111% | — | $170 – $51.7k |
| 16 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $2.6k | $2.8k | $2.3k | 83% | — | $68 – $5.8k |
| 17 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $3.8k | $4.2k | $2.4k | 57% | — | $309 – $9.3k |
| 18 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $2.4k | $2.4k | $1.5k | 63% | — | $264 – $5.3k |
| 19 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $859 | $859 | — | — | — | $859 – $859 |
| 21 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $2.9k | $3.2k | $1.8k | 57% | — | $327 – $7.1k |
| 22 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $848 | $848 | — | — | — | $848 – $848 |
| 23 | MEDICAL CITY DALLAS GARLAND, TX percent of total billed charges · outpatientfrom % of charges | 2 | $23 | $23 | $18 | 78% | — | $5 – $41 |
| 24 | MEDICAL CITY FORT WORTH FORT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.4k | $615 | 26% | — | $1.3k – $2.9k |
| 25 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $880 | $880 | — | — | — | $880 – $880 |
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