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
$82
Average
$246
Median
$151
High
$2.6k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
237 hospitals; the 90th percentile is 4.0× 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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262 hospital rates
iThe hospitals that file a WellCare 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $135 | $135 | $3 | 2% | — | $131 – $138 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $103 | $37 | 36% | — | $80 – $166 |
| 3 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $556 | $1.3k | $1.4k | 108% | — | $351 – $3.7k |
| 4 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $108 | $108 | $0 | 0% | — | $108 – $109 |
| 5 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 2 | $96 | $96 | $0 | 0% | — | $95 – $96 |
| 6 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $127 | $127 | $1 | 1% | — | $126 – $128 |
| 7 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 8 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 9 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · inpatientfrom % of charges | 1 | $134 | $134 | $1 | 0% | — | $133 – $135 |
| 10 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $134 | $1 | 0% | — | $133 – $135 |
| 11 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 2 | $108 | $108 | $1 | 1% | — | $107 – $109 |
| 12 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $128 | $1 | 0% | — | $127 – $128 |
| 13 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $158 | $1 | 0% | — | $157 – $159 |
| 14 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · outpatientfrom % of charges | 1 | $145 | $145 | $1 | 0% | — | $145 – $146 |
| 15 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | $1 | 0% | — | $151 – $152 |
| 16 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $164 | $1 | 0% | — | $164 – $165 |
| 17 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 18 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 19 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 20 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $688 | $688 | — | — | — | $688 – $688 |
| 21 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 22 | Benefis Senior Services Great Falls, MT other · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 23 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 24 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 25 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | $938 | 83% | — | $1 – $2.3k |
← Payers reporting HCPCS Q4187 · Snapshot 20261111T120946Z-9134e7f7