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
$0
Average
$766
Median
$337
High
$12.7k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1103 hospitals; the 90th percentile is 9.0× 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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1,546 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $745 | $922 | $289 | 31% | 10–100 | $526 – $1.4k |
| 2 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $933 | $1.1k | $437 | 38% | 1–10 | $424 – $1.8k |
| 3 | ADVENTIST HEALTH DELANO Delano, CA other · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 4 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 3 | $487 | $479 | $11 | 2% | — | $463 – $487 |
| 5 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $247 | $211 | $51 | 24% | — | $139 – $247 |
| 6 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 3 | $2.0k | $3.0k | $2.2k | 73% | — | $608 – $6.3k |
| 7 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $127 | $131 | $6 | 4% | — | $127 – $139 |
| 8 | ADVENTIST HEALTH TULARE Tulare, CA other · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 9 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $2.4k | $2.4k | $872 | 36% | — | $1.5k – $3.4k |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $522 | $522 | — | — | — | $522 – $522 |
| 11 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 2 | $127 | $127 | — | — | — | $127 – $127 |
| 12 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $335 | $329 | $9 | 3% | — | $317 – $335 |
| 13 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 3 | $335 | $329 | $9 | 3% | — | $317 – $335 |
| 14 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $140 | $140 | $1 | 1% | — | $139 – $142 |
| 15 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $455 | $423 | $288 | 68% | — | $76 – $975 |
| 16 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 4 | $889 | $2.4k | $2.8k | 117% | — | $346 – $9.0k |
| 17 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $281 | $249 | $46 | 19% | — | $182 – $283 |
| 18 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 2 | $340 | $267 | $104 | 39% | — | $120 – $343 |
| 19 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $331 | $252 | $114 | 45% | — | $90 – $334 |
| 20 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $281 | $1 | 0% | — | $280 – $282 |
| 21 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $354 | $354 | $131 | 37% | — | $223 – $486 |
| 23 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $337 | $337 | $87 | 26% | — | $250 – $423 |
| 24 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $460 | $2.9k | $3.5k | 122% | — | $181 – $10.5k |
| 25 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $460 | $2.9k | $3.5k | 122% | — | $181 – $10.5k |
← Payers reporting HCPCS Q4187 · Snapshot 20261111T120946Z-9134e7f7