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
$1
Average
$1.6k
Median
$53
High
$12.5k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 516.0× 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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39 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $34 | $36 | $14 | 39% | — | $20 – $54 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $29 | $11 | 39% | — | $16 – $44 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 6 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $144 | $144 | — | — | — | $144 – $144 |
| 7 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $144 | $144 | — | — | — | $144 – $144 |
| 8 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $2.7k | $4.7k | $3.8k | 81% | — | $707 – $11.3k |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN fee schedule · both | 2 | $56 | $56 | $5 | 9% | — | $51 – $61 |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN fee schedule · both | 14 | $51 | $53 | $4 | 8% | — | $51 – $61 |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 16 | $51 | $53 | $4 | 8% | — | $51 – $61 |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN fee schedule · both | 2 | $56 | $56 | $5 | 9% | — | $51 – $61 |
| 13 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · both | 2 | $56 | $56 | $5 | 9% | — | $51 – $61 |
| 14 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN fee schedule · both | 2 | $56 | $56 | $5 | 9% | — | $51 – $61 |
| 15 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 18 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $1.8k | $2.8k | $1.6k | 56% | — | $1.2k – $4.9k |
| 19 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA other · both | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 20 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $8.4k | $8.4k | $3.6k | 43% | — | $4.8k – $12.0k |
| 21 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 22 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 23 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $12.0k | $12.5k | $8.0k | 64% | — | $1.1k – $33.6k |
| 24 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $3.4k | $4.6k | $3.0k | 64% | — | $289 – $11.3k |
| 25 | Newton Medical Center Newton, NJ percent of total billed charges · bothfrom % of charges | 1 | $3.8k | $6.6k | $4.0k | 61% | — | $2.6k – $13.4k |
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