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
HC Graftjacket Now 8x4cm Thick 32sqcm 86304x08 per Sq Cm
Low
$110
Average
$323
Median
$127
High
$7.5k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
119 hospitals; the 90th percentile is 1.3× 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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126 hospital rates
iThe hospitals that file a Devoted 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 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 2 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 3 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 4 | Alton Memorial Hospital Alton, IL other · both | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 5 | Barnes Jewish Hospital St. Louis, MO other · both | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 6 | Barnes Jewish St. Peters Hospital St. Peters, MO other · both | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 7 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 8 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 9 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 10 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 11 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 12 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 13 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 19 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 2 | $127 | $127 | — | — | — | $127 – $127 |
| 20 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 21 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 24 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 2 | $127 | $127 | — | — | — | $127 – $127 |
| 25 | Carlsbad Medical Center LLC Carlsbad, NM facility · fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
← Payers reporting HCPCS Q4107 · Snapshot 20261111T120946Z-9134e7f7