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 THERASKIN CROPRESERVED SKIN 3X6IN - 116 CM-COST PER SQ CM
Low
$1
Average
$298
Median
$118
High
$5.5k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
367 hospitals; the 90th percentile is 6.5× 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
448 hospital rates
iThe hospitals that file a Molina 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $32 | $23 | 72% | — | $12 – $69 |
| 3 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $44 | $49 | 112% | — | $16 – $152 |
| 4 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $39 | $43 | 112% | — | $14 – $134 |
| 5 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $51 | $58 | 112% | — | $19 – $179 |
| 6 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $36 | $40 | 112% | — | $13 – $125 |
| 7 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $75 | $84 | 112% | — | $27 – $259 |
| 8 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 9 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $45 | $88 | $66 | 75% | — | $38 – $209 |
| 10 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $36 | $68 | $52 | 77% | — | $26 – $191 |
| 11 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 12 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $181 | $181 | $62 | 34% | — | $119 – $244 |
| 13 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 14 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · both | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 15 | AnMed Health Anderson, SC facility · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 16 | AnMed Health Cannon Pickens, SC facility · fee schedule · outpatient | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 17 | AnMed Piedmont Piedmont, SC facility · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 18 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $54 | $61 | 112% | — | $20 – $188 |
| 19 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $44 | $49 | 112% | — | $16 – $152 |
| 20 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $46 | $52 | 112% | — | $17 – $161 |
| 21 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $39 | $43 | 112% | — | $14 – $134 |
| 22 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $57 | $63 | 112% | — | $20 – $197 |
| 23 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $41 | $46 | 112% | — | $15 – $143 |
| 24 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 25 | Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
← Payers reporting HCPCS Q4121 · Snapshot 20261111T120946Z-9134e7f7