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
$14
Average
$2.1k
Median
$133
High
$39.5k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
97 hospitals; the 90th percentile is 57.7× 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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101 hospital rates
iThe hospitals that file a Optum 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 2 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $206 | $1.0k | $3.8k | 368% | — | $41 – $20.5k |
| 3 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $206 | $1.0k | $3.8k | 368% | — | $41 – $20.5k |
| 4 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $24.6k | $30.9k | $21.7k | 70% | — | $2.0k – $84.0k |
| 5 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 12 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 13 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 14 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 15 | Childrens Hospital of Los Angeles Angeles, CA facility · per diem · outpatient | 1 | $480 | $480 | — | — | — | $480 – $480 |
| 16 | Cocke County HMA, LLC Newport, TN facility · per diem · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 17 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 3 | $1.5k | $2.1k | $856 | 40% | — | $1.5k – $3.3k |
| 18 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $3.6k | $5.3k | $5.4k | 103% | — | $329 – $22.0k |
| 19 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $1.3k | $1.3k | $232 | 18% | — | $1.0k – $1.5k |
| 20 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 21 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 22 | Fisher-Titus Medical Center Norwalk, OH professional · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 23 | HCA FLORIDA LARGO HOSPITAL CLEARWATER, FL percent of total billed charges · outpatientfrom % of charges | 1 | $39.5k | $39.5k | — | — | — | $39.5k – $39.5k |
| 24 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $418 | $1.7k | $2.3k | 137% | — | $11 – $9.0k |
| 25 | Houston Methodist Baytown Hospital Baytown, TX fee schedule · outpatient | 1 | $244 | $244 | — | — | — | $244 – $244 |
← Payers reporting HCPCS Q4128 · Snapshot 20261111T120946Z-9134e7f7