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 DERMAL 0.8 TO 1.7MMX8 20CM PLIABLE FOLDING HYDRATED THICK FLEXHD ACELLULAR DERMIS IMPLANTABLE
Low
$18
Average
$5.1k
Median
$224
High
$146.0k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
281 hospitals; the 90th percentile is 440.6× 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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418 hospital rates
iThe hospitals that file a Anthem 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 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 6 | $3.0k | $10.5k | $18.5k | 176% | 54–540 | $38 – $66.3k |
| 2 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $20.0k | $28.9k | $31.4k | 109% | 18–180 | $660 – $148.5k |
| 3 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $17.3k | $25.6k | $28.1k | 110% | 18–180 | $676 – $142.9k |
| 4 | LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG, VA percent of total billed charges · outpatientfrom % of charges | 2 | $33.8k | $33.8k | — | — | 4–40 | $33.8k – $33.8k |
| 5 | LEWISGALE MEDICAL CENTER ROANOKE, VA percent of total billed charges · outpatientfrom % of charges | 2 | $34.1k | $34.1k | — | — | 4–40 | $34.1k – $34.1k |
| 6 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $327 | $288 | $101 | 35% | 3–30 | $125 – $373 |
| 7 | HCA HEALTHONE CENTRAL PARK ER DENVER, CO percent of total billed charges · outpatientfrom % of charges | 3 | $306 | $12.9k | $38.3k | 297% | 2–20 | $180 – $154.4k |
| 8 | HCA HEALTHONE ROSE Denver, CO percent of total billed charges · outpatientfrom % of charges | 3 | $306 | $12.9k | $38.3k | 297% | 2–20 | $180 – $154.4k |
| 9 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA percent of total billed charges · outpatientfrom % of charges | 2 | $118.7k | $118.7k | — | — | 2–20 | $118.7k – $118.7k |
| 10 | JOHNSTON-WILLIS HOSPITAL RICHMOND, VA percent of total billed charges · outpatientfrom % of charges | 2 | $146.0k | $146.0k | — | — | 2–20 | $146.0k – $146.0k |
| 11 | HCA HEALTHONE SKY RIDGE Lone Tree, CO percent of total billed charges · outpatientfrom % of charges | 2 | $216 | $5.6k | $18.4k | 331% | 1–10 | $161 – $69.4k |
| 12 | HCA HEALTHONE SOUTH PARKER ER PARKER, CO percent of total billed charges · outpatientfrom % of charges | 2 | $216 | $5.6k | $18.4k | 331% | 1–10 | $161 – $69.4k |
| 13 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 14 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | $0 | 0% | — | $1.9k – $1.9k |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $296 | $254 | $99 | 39% | — | $118 – $349 |
| 16 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $69 | $73 | $31 | 42% | — | $34 – $126 |
| 17 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $59 | $68 | $37 | 54% | — | $22 – $146 |
| 18 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $34 | $34 | $4 | 12% | — | $30 – $38 |
| 19 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $30 | $30 | $0 | 1% | — | $30 – $31 |
| 20 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $14.9k | $21.5k | $20.5k | 96% | — | $729 – $55.7k |
| 21 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $9.7k | $19.1k | $19.5k | 102% | — | $432 – $56.2k |
| 22 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $20.6k | $24.2k | $22.6k | 93% | — | $1.1k – $54.6k |
| 23 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $15.3k | $20.9k | $19.9k | 95% | — | $754 – $54.6k |
| 24 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 25 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $177 | $177 | — | — | — | $177 – $177 |
← Payers reporting HCPCS Q4128 · Snapshot 20261111T120946Z-9134e7f7