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
$69
Average
$697
Median
$123
High
$2.9k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 21.2× 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.
Filter by billing methodology
Filter by billing class
55 hospital rates
iThe hospitals that file a Medical Mutual 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 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1.8k | $2.0k | $1.6k | 83% | — | $110 – $4.1k |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.1k | $1.7k | $1.5k | 88% | — | $59 – $4.1k |
| 3 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.2k | $980 | 83% | — | $66 – $2.5k |
| 4 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.4k | $1.2k | 86% | — | $66 – $3.4k |
| 5 | Avita Ontario Hospital Ontario, OH per diem · both | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 6 | Avita Ontario Hospital Ontario, OH percent of total billed charges · bothfrom % of charges | 2 | $132 | $132 | $28 | 21% | — | $104 – $159 |
| 7 | Bucyrus Community Hospital Bucyrus, OH per diem · both | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 8 | Bucyrus Community Hospital Bucyrus, OH percent of total billed charges · bothfrom % of charges | 2 | $73 | $73 | $31 | 42% | — | $42 – $104 |
| 9 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 10 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 11 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 12 | Galion Community Hospital S., OH per diem · both | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 13 | Galion Community Hospital S., OH percent of total billed charges · bothfrom % of charges | 2 | $2.2k | $2.2k | $2.1k | 95% | — | $104 – $4.2k |
| 14 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1.7k | $1.9k | $1.6k | 83% | — | $104 – $3.9k |
| 15 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.9k | $1.6k | 83% | — | $104 – $3.9k |
| 16 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 17 | Pike Health Services Inc Waverly, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1.7k | $1.9k | $1.6k | 83% | — | $104 – $3.9k |
| 18 | Pike Health Services Inc Waverly, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $796 | $1.5k | $1.4k | 98% | — | $35 – $3.9k |
| 19 | TWIN CITY HOSPITAL CORPORATION Dennison, OH fee schedule · inpatient | 2 | $84 | $84 | $2 | 3% | — | $81 – $86 |
| 20 | TWIN CITY HOSPITAL CORPORATION Dennison, OH fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 21 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 3 | $143 | $143 | $12 | 8% | — | $129 – $157 |
| 22 | University Hospitals Health System Chardon, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $93 | $93 | $27 | 29% | — | $67 – $120 |
| 23 | University Hospitals Health System Chardon, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $83 | $83 | $38 | 46% | — | $45 – $120 |
| 24 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 3 | $129 | $129 | $11 | 8% | — | $116 – $142 |
| 25 | University Hospitals Health System Ravenna, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $94 | $94 | $26 | 28% | — | $68 – $120 |
← Payers reporting HCPCS Q4106 · Snapshot 20261111T120946Z-9134e7f7