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 SKIN 8X3CM AMNIOBAND 24SQ CM ALLOGRAFT
Low
$56
Average
$1.2k
Median
$633
High
$4.2k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 26.9× 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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23 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 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 2 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN fee schedule · both | 2 | $56 | $56 | $5 | 9% | — | $51 – $61 |
| 4 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 5 | Grossmont Hospital Corporation La Mesa, CA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $2.7k | $3.5k | $3.2k | 92% | — | $455 – $10.8k |
| 7 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $5.6k | $5.9k | 105% | — | $343 – $18.7k |
| 8 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $845 | $845 | $116 | 14% | — | $729 – $961 |
| 9 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 10 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 11 | Overlook Medical Center Summit, NJ percent of total billed charges · bothfrom % of charges | 1 | $703 | $633 | $186 | 29% | — | $365 – $862 |
| 12 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $176 | $182 | $29 | 16% | — | $150 – $237 |
| 13 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $120 | $124 | $20 | 16% | — | $102 – $162 |
| 14 | Sharp Chula Vista Medical Center Chula Vista, CA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Sharp Chula Vista Medical Center Chula Vista, CA percent of total billed charges · inpatientfrom % of charges | 1 | $2.3k | $2.9k | $2.0k | 71% | — | $224 – $7.2k |
| 16 | Sharp Chula Vista Medical Center Chula Vista, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $2.6k | $2.6k | 99% | — | $438 – $7.5k |
| 17 | Sharp Coronado Hospital and Healthcare Center Coronado, CA percent of total billed charges · inpatientfrom % of charges | 1 | $1.7k | $3.9k | $5.2k | 132% | — | $495 – $17.2k |
| 18 | Sharp Coronado Hospital and Healthcare Center Coronado, CA percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $3.9k | $4.3k | 110% | — | $416 – $13.7k |
| 19 | Sharp Memorial Hospital San Diego, CA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Sharp Memorial Hospital San Diego, CA percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.9k | $1.4k | 76% | — | $668 – $3.9k |
| 21 | Sharp Memorial Hospital San Diego, CA percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $3.2k | $3.3k | 101% | — | $416 – $8.5k |
| 22 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA other · both | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 23 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 3 | $842 | $1.3k | $1.2k | 91% | — | $226 – $6.0k |
← Payers reporting HCPCS Q4151 · Snapshot 20261111T120946Z-9134e7f7