Epifix skin graft material per square centimeter

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 EPIFIX DISK 18MM SQ CM

Tricare pricing summary

Low

$87

Average

$885

Median

$127

High

$11.2k

Tricare rate distribution

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141 hospital rates

#		Plans
1	Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
2	Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
3	Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
4	Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient	1	$144	$144	—	—	—	$144 – $144
5	Bullhead City Hospital Corporation City, AZ facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
6	CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient	1	$121	$121	—	—	—	$121 – $121
7	COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient	4	$158	$158	—	—	—	$158 – $158
8	CORNING HOSPITAL Corning, NY facility · other · outpatient	1	$304	$304	—	—	—	$304 – $304
9	CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · both	1	$121	$121	—	—	—	$121 – $121
10	Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
11	Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient	1	$109	$109	—	—	—	$109 – $109
12	Carlsbad Medical Center LLC Carlsbad, NM facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
13	CentraState Medical Center Freehold Township, NJ other · outpatient	2	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
14	Central Maine Medical Center Lewiston, ME fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
15	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	1	$4.5k	$4.5k	—	—	—	$4.5k – $4.5k
16	Chilton Medical Center Pompton Plains, NJ other · outpatient	2	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
17	Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
18	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	1	$1.4k	$2.7k	$2.8k	105%	—	$500 – $10.5k
19	Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient	1	$575	$575	—	—	—	$575 – $575
20	Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · inpatientfrom % of charges	1	$1.9k	$4.0k	$3.9k	99%	—	$313 – $13.1k
21	Crestview Hospital Corporation Crestview, FL facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
22	Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
23	East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
24	Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
25	FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient	1	$113	$113	—	—	—	$113 – $113