Grafix Prime wound care tissue graft

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

HC GRAFIX PRIME PER 1SQ CM Q4133 (HIGH)

Devoted pricing summary

Low

$84

Average

$245

Median

$126

High

$10.3k

Devoted rate distribution

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154 hospital rates

#		Plans
1	Adventhealth Redmond Rome, GA fee schedule · outpatient	1	$136	$136	—	—	—	$136 – $136
2	Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient	1	$114	$114	—	—	—	$114 – $114
3	AnMed Health Anderson, SC professional · fee schedule · inpatient	1	$142	$142	—	—	—	$142 – $142
4	AnMed Health Anderson, SC professional · fee schedule · outpatient	1	$142	$142	—	—	—	$142 – $142
5	AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient	1	$142	$142	—	—	—	$142 – $142
6	AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient	1	$142	$142	—	—	—	$142 – $142
7	AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient	1	$142	$142	—	—	—	$142 – $142
8	Boulder Community Health Lafayette, CO facility · case rate · outpatient	1	$137	$137	—	—	—	$137 – $137
9	Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges	1	$2.8k	$2.8k	—	—	—	$2.8k – $2.8k
10	Boulder Community Health Lafayette, CO professional · fee schedule · both	1	$135	$135	—	—	—	$135 – $135
11	Bristol Regional Medical Center BRISTOL, VA fee schedule · both	1	$124	$99	$49	49%	—	$1 – $124
12	Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
13	Bullhead City Hospital Corporation City, AZ facility · other · outpatient	1	$147	$147	—	—	—	$147 – $147
14	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges	1	$151	$151	—	—	—	$151 – $151
15	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges	1	$151	$151	—	—	—	$151 – $151
16	CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient	1	$125	$125	—	—	—	$125 – $125
17	CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient	1	$125	$125	—	—	—	$125 – $125
18	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$125	$125	—	—	—	$125 – $125
19	CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient	1	$125	$125	—	—	—	$125 – $125
20	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$125	$125	—	—	—	$125 – $125
21	CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient	1	$125	$125	—	—	—	$125 – $125
22	CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · both	2	$127	$127	—	—	—	$127 – $127
23	CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient	1	$118	$118	—	—	—	$118 – $118
24	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient	1	$118	$118	—	—	—	$118 – $118
25	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient	1	$118	$118	—	—	—	$118 – $118