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
$8
Average
$4.4k
Median
$101
High
$51.9k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 132.2× 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.
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16 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 2 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 3 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 4 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 5 | MEDICAL CITY DALLAS GARLAND, TX percent of total billed charges · outpatientfrom % of charges | 2 | $279 | $279 | $218 | 78% | — | $61 – $497 |
| 6 | MEDICAL CITY FORT WORTH FORT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 1 | $51.9k | $51.9k | — | — | — | $51.9k – $51.9k |
| 7 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $2.3k | $2.3k | $465 | 20% | — | $1.8k – $2.8k |
| 8 | ST MARTIN HOSPITAL INC Breaux Bridge, LA other · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 9 | ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER AUSTIN, TX percent of total billed charges · outpatientfrom % of charges | 1 | $650 | $650 | — | — | — | $650 – $650 |
| 10 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · bothfrom % of charges | 1 | $101 | $101 | $39 | 38% | — | $62 – $139 |
| 11 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · inpatientfrom % of charges | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 12 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 13 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 14 | University of North Carolina Hospitals at Chapel Hill Butner, NC facility · per diem · inpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 15 | University of North Carolina Hospitals at Chapel Hill Butner, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $53 | $53 | $17 | 32% | — | $36 – $70 |
| 16 | Yale New Haven Hospital Haven, CT fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
← Payers reporting HCPCS Q4106 · Snapshot 20261111T120946Z-9134e7f7