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, DERMAGRAFT SKIN
Low
$5
Average
$349
Median
$31
High
$4.5k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 14.3× 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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54 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 2 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 4 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 6 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 8 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 9 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 10 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 11 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 12 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 13 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 14 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 15 | Carolinas Medical Center Davidson, NC fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 16 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 17 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 18 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 19 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 20 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 21 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 22 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 23 | Lenoir Memorial Hospital Kinston, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 24 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $875 | $875 | — | — | — | $875 – $875 |
| 25 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $45 | $45 | $1 | 1% | — | $44 – $45 |
← Payers reporting HCPCS Q4106 · Snapshot 20261111T120946Z-9134e7f7