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
SKIN GRAFT 4X2CM ALLOGRFT WET ALLOWRAP AMNION #3102-2004
Low
$48
Average
$1.1k
Median
$130
High
$30.3k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
463 hospitals; the 90th percentile is 32.3× 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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552 hospital rates
iThe hospitals that file a Humana 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 | The University of Texas Medical Branch Webster, TX other · both | 1 | $125 | $125 | — | — | 96 | $125 – $125 |
| 2 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $3.8k | $3.8k | $550 | 14% | — | $3.3k – $4.4k |
| 3 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 1 | $1.4k | $1.6k | $1.0k | 63% | — | $346 – $3.2k |
| 4 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $1.0k | $1.1k | $710 | 63% | — | $244 – $2.2k |
| 5 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 1 | $816 | $910 | $578 | 63% | — | $199 – $1.8k |
| 6 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 1 | $1.2k | $1.3k | $842 | 63% | — | $289 – $2.6k |
| 7 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $130 | $130 | — | — | — | $130 – $130 |
| 8 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $181 | $181 | $1 | 0% | — | $180 – $182 |
| 9 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 2 | $160 | $160 | $1 | 1% | — | $159 – $160 |
| 10 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $212 | $212 | — | — | — | $212 – $212 |
| 11 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 12 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $316 | $316 | — | — | — | $316 – $316 |
| 13 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 14 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 15 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 16 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 2 | $223 | $223 | $1 | 1% | — | $222 – $224 |
| 17 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 2 | $180 | $180 | — | — | — | $180 – $180 |
| 18 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 19 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 20 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · outpatientfrom % of charges | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 21 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 22 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 23 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 24 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $1.9k | $1.9k | $267 | 14% | — | $1.6k – $2.1k |
| 25 | Baptist Health Medical Center - Conway Conway, AR fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
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