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
$53
Average
$1.6k
Median
$191
High
$13.7k
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
103 hospitals; the 90th percentile is 59.4× 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 Oscar 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 Ottawa Ottawa, KS fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 2 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 3 | Banner Baywood Medical Center Mesa, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 4 | Banner Estrella Medical Center Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $251 | $251 | $82 | 33% | — | $169 – $332 |
| 5 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $65 | $71 | $16 | 23% | — | $54 – $99 |
| 7 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $65 | $71 | $16 | 23% | — | $54 – $99 |
| 8 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 9 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $6.1k | $6.1k | $891 | 15% | — | $5.2k – $6.9k |
| 10 | Coffee Regional Medical Center, Inc Douglas, GA facility · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 11 | Coffee Regional Medical Center, Inc Douglas, GA professional · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 12 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $75 | $81 | $19 | 24% | — | $62 – $114 |
| 13 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $146 | $166 | $48 | 29% | — | $125 – $270 |
| 14 | Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 15 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $66 | $75 | $22 | 29% | — | $56 – $122 |
| 16 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 17 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 18 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 19 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 20 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 21 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 22 | Honorhealth Scottsdale Thompson Peak Med Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 23 | Honorhealth Sonoran Crossing Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 24 | Ingalls Memorial Hospital Harvey, IL fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 25 | LAFAYETTE REGIONAL HEALTH CENTER Lexington, MO percent of total billed charges · outpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
← Payers reporting HCPCS Q4107 · Snapshot 20261111T120946Z-9134e7f7