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
$195
Average
$4.4k
Median
$1.5k
High
$13.9k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
80 hospitals; the 90th percentile is 44.4× 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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96 hospital rates
iThe hospitals that file a Phcs 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 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient | 1 | $351 | $622 | $570 | 92% | — | $192 – $2.0k |
| 2 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $371 | $657 | $602 | 92% | — | $203 – $2.2k |
| 3 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient | 1 | $351 | $622 | $570 | 92% | — | $192 – $2.0k |
| 4 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $371 | $657 | $602 | 92% | — | $203 – $2.2k |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient | 1 | $351 | $622 | $570 | 92% | — | $192 – $2.0k |
| 6 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 1 | $371 | $657 | $602 | 92% | — | $203 – $2.2k |
| 7 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $351 | $622 | $570 | 92% | — | $192 – $2.0k |
| 8 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $371 | $657 | $602 | 92% | — | $203 – $2.2k |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $351 | $622 | $570 | 92% | — | $192 – $2.0k |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $371 | $657 | $602 | 92% | — | $203 – $2.2k |
| 11 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · inpatient | 1 | $351 | $622 | $570 | 92% | — | $192 – $2.0k |
| 12 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 1 | $371 | $657 | $602 | 92% | — | $203 – $2.2k |
| 13 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $407 | $409 | $101 | 25% | — | $261 – $626 |
| 14 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $379 | $381 | $94 | 25% | — | $244 – $584 |
| 15 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL percent of total billed charges · bothfrom % of charges | 1 | $14.2k | $13.9k | $4.2k | 31% | — | $8.3k – $18.9k |
| 16 | BETHESDA HOSPITAL BOYNTON BEACH, FL percent of total billed charges · bothfrom % of charges | 1 | $14.2k | $13.9k | $4.2k | 31% | — | $8.3k – $18.9k |
| 17 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.1k | $2.5k | $1.0k | 42% | — | $1.5k – $4.1k |
| 18 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.5k | $1.0k | 42% | — | $1.5k – $4.2k |
| 19 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 20 | DOCTORS HOSPITAL CORAL GABLES, FL percent of total billed charges · bothfrom % of charges | 1 | $14.2k | $13.9k | $4.2k | 31% | — | $8.3k – $18.9k |
| 21 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $217 | $217 | — | — | — | $217 – $217 |
| 22 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $398 | $401 | $78 | 20% | — | $283 – $536 |
| 23 | East Cooper Medical Center LLC Mt Pleasant, SC percent of total billed charges · bothfrom % of charges | 1 | $958 | $1.0k | $564 | 56% | — | $343 – $1.7k |
| 24 | FISHERMENS HEALTH, INC MARATHON, FL percent of total billed charges · bothfrom % of charges | 1 | $14.2k | $13.9k | $4.2k | 31% | — | $8.3k – $18.9k |
| 25 | HOMESTEAD HOSPITAL Homestead, FL percent of total billed charges · bothfrom % of charges | 1 | $14.2k | $13.9k | $4.2k | 31% | — | $8.3k – $18.9k |
← Payers reporting HCPCS Q4151 · Snapshot 20261111T120946Z-9134e7f7