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
Sft Tiss Grft Nushield 6x6cm (per Sqcm)
Low
$94
Average
$476
Median
$140
High
$8.4k
Each hospital's average Regence rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 7.4× 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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59 hospital rates
iThe hospitals that file a Regence 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 West Valley City, UT percent of total billed charges · inpatientfrom % of charges | 4 | $700 | $691 | $120 | 17% | — | $522 – $843 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT percent of total billed charges · outpatientfrom % of charges | 4 | $704 | $701 | $129 | 18% | — | $525 – $872 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT percent of total billed charges · inpatientfrom % of charges | 4 | $700 | $691 | $120 | 17% | — | $522 – $843 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT percent of total billed charges · outpatientfrom % of charges | 4 | $704 | $701 | $129 | 18% | — | $525 – $872 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT percent of total billed charges · inpatientfrom % of charges | 4 | $700 | $691 | $120 | 17% | — | $522 – $843 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT percent of total billed charges · outpatientfrom % of charges | 4 | $704 | $701 | $129 | 18% | — | $525 – $872 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · inpatientfrom % of charges | 5 | $757 | $722 | $124 | 17% | — | $522 – $843 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · outpatientfrom % of charges | 5 | $761 | $717 | $120 | 17% | — | $525 – $872 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT percent of total billed charges · inpatientfrom % of charges | 4 | $700 | $691 | $120 | 17% | — | $522 – $843 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT percent of total billed charges · outpatientfrom % of charges | 4 | $704 | $701 | $129 | 18% | — | $525 – $872 |
| 11 | COMMONSPIRIT OREGON Pendleton, OR fee schedule · inpatient | 1 | $735 | $1.7k | $1.8k | 104% | — | $161 – $5.8k |
| 12 | COMMONSPIRIT OREGON Pendleton, OR fee schedule · outpatient | 1 | $735 | $1.7k | $1.8k | 104% | — | $161 – $5.8k |
| 13 | Central Washington Health Services Association Wenatchee, WA other · both | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 14 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 2 | $314 | $314 | $1 | 0% | — | $313 – $315 |
| 15 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 16 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $2.0k | $2.0k | $725 | 37% | — | $987 – $2.9k |
| 17 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $284 | $284 | — | — | — | $284 – $284 |
| 18 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 19 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 20 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT professional · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 21 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 22 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT professional · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 23 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID professional · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 24 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT professional · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 25 | IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital Delta, UT professional · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
← Payers reporting HCPCS Q4160 · Snapshot 20261111T120946Z-9134e7f7