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
Grft Sft Tiss Epicord 1x2cm (per Sq Cm)
Low
$1
Average
$408
Median
$247
High
$3.8k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
138 hospitals; the 90th percentile is 8.5× 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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159 hospital rates
iThe hospitals that file a Caresource 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 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $3.1k | $3.3k | 108% | — | $839 – $8.8k |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $306 | $1.9k | $2.4k | 122% | — | $121 – $7.0k |
| 4 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $179 | $179 | $58 | 32% | — | $121 – $238 |
| 5 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | Baptist Medical Center of the Beaches, INC Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $489 | $489 | — | — | — | $489 – $489 |
| 7 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 2 | $680 | $680 | $224 | 33% | — | $456 – $904 |
| 8 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 9 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 10 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $413 | $413 | — | — | — | $413 – $413 |
| 11 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 12 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 13 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 14 | Defiance Hospital Inc Defiance, OH facility · fee schedule · outpatient | 2 | $356 | $356 | $101 | 28% | — | $255 – $456 |
| 15 | Defiance Hospital Inc Defiance, OH professional · fee schedule · outpatient | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 16 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $548 | $745 | $280 | 38% | — | $547 – $1.1k |
| 17 | Doctors Hospital Columbus, OH fee schedule · outpatient | 1 | $413 | $413 | — | — | — | $413 – $413 |
| 18 | Dublin Methodist Hospital Dublin, OH fee schedule · outpatient | 1 | $413 | $413 | — | — | — | $413 – $413 |
| 19 | FAIRVIEW PARK HOSPITAL DUBLIN, GA fee schedule · outpatient | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 20 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $124 | $124 | $9 | 7% | — | $115 – $133 |
| 21 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 22 | Fostoria Hospital Association Fostoria, OH facility · fee schedule · outpatient | 2 | $356 | $356 | $101 | 28% | — | $255 – $456 |
| 23 | Fostoria Hospital Association Fostoria, OH professional · fee schedule · outpatient | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 24 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $392 | $392 | — | — | — | $392 – $392 |
| 25 | Grady Memorial Hospital Delaware, OH fee schedule · outpatient | 2 | $267 | $267 | $146 | 55% | — | $121 – $413 |
← Payers reporting HCPCS Q4187 · Snapshot 20261111T120946Z-9134e7f7