Skin graft substitute material

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TISSUE DERMAL MEMODERM (50SQ CM)5X10CM NON-MESHED EXTRA THICK 19800

WellCare pricing summary

Low

$36

Average

$411

Median

$127

High

$4.8k

WellCare rate distribution

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155 hospital rates

#		Plans
1	AMH Cath Labs LLC Arlington, TX case rate · outpatient	2	$135	$135	$3	2%	—	$131 – $138
2	AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges	1	$26	$29	$11	36%	—	$16 – $46
3	Acadia Hospital Bangor, ME professional · fee schedule · outpatient	1	$64	$64	—	—	—	$64 – $64
4	Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient	1	$126	$126	—	—	—	$126 – $126
5	Baxter County Regional Hospital, Inc. Home, AR facility · fee schedule · outpatient	1	$124	$124	—	—	—	$124 – $124
6	Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient	1	$64	$64	—	—	—	$64 – $64
7	Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient	1	$119	$119	—	—	—	$119 – $119
8	CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
9	CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient	1	$160	$160	—	—	—	$160 – $160
10	CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
11	Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient	2	$123	$123	—	—	—	$123 – $123
12	Carle BroMenn Medical Center Normal, IL case rate · outpatient	1	$133	$133	—	—	—	$133 – $133
13	Carle Eureka Hospital Eureka, IL case rate · outpatient	1	$133	$133	—	—	—	$133 – $133
14	Central Maine Medical Center Lewiston, ME fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
15	Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient	1	$61	$61	—	—	—	$61 – $61
16	Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient	1	$171	$171	—	—	—	$171 – $171
17	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
18	Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient	1	$62	$62	—	—	—	$62 – $62
19	Danbury Hospital New Milford, CT fee schedule · outpatient	1	$152	$152	—	—	—	$152 – $152
20	Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges	1	$36	$36	—	—	—	$36 – $36
21	ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient	1	$155	$155	—	—	—	$155 – $155
22	Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient	1	$64	$64	—	—	—	$64 – $64
23	F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
24	FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient	1	$119	$119	—	—	—	$119 – $119
25	FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient	1	$119	$119	—	—	—	$119 – $119