Patient's own tissue harvest and preparation, 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

Myown harv prep proc sq cm

Anthem pricing summary

Low

$43

Average

$415

Median

$338

High

$5.6k

Anthem rate distribution

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33 hospital rates

#		Plans
1	Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient	2	$386	$386	—	—	—	$386 – $386
2	Boulder Community Health Lafayette, CO professional · fee schedule · both	2	$490	$490	—	—	—	$490 – $490
3	Central Georgia Rehabilitation LLC Macon, GA fee schedule · both	1	$394	$394	—	—	—	$394 – $394
4	Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient	2	$386	$386	—	—	—	$386 – $386
5	Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient	3	$654	$654	—	—	—	$654 – $654
6	Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient	1	$49	$49	—	—	—	$49 – $49
7	Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient	2	$386	$386	—	—	—	$386 – $386
8	Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · fee schedule · outpatient	1	$48	$48	—	—	—	$48 – $48
9	Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both	1	$38	$38	—	—	—	$38 – $38
10	Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient	2	$386	$386	—	—	—	$386 – $386
11	MaineHealth Belfast, ME fee schedule · both	1	$252	$252	—	—	—	$252 – $252
12	MaineHealth Farmington, ME fee schedule · both	1	$290	$290	—	—	—	$290 – $290
13	MaineHealth Norway, ME fee schedule · both	1	$252	$252	—	—	—	$252 – $252
14	Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient	6	$408	$408	—	—	—	$408 – $408
15	Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient	1	$386	$386	—	—	—	$386 – $386
16	Mercy Hospital Portland, ME professional · fee schedule · outpatient	2	$386	$386	—	—	—	$386 – $386
17	Navicent Health Baldwin Inc Milledgeville, GA fee schedule · both	2	$394	$394	—	—	—	$394 – $394
18	Norton Healthcare Indiana Inc Jeffersonville, IN fee schedule · outpatient	1	$48	$48	—	—	—	$48 – $48
19	Norton Kings Daughters Health Inc Madison, IN facility · fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
20	Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient	2	$386	$386	—	—	—	$386 – $386
21	The Aroostook Medical Center Isle, ME professional · fee schedule · outpatient	2	$386	$386	—	—	—	$386 – $386
22	The Medical Center of Central Georgia Inc Macon, GA fee schedule · both	1	$394	$394	—	—	—	$394 – $394
23	The Medical Center of Peach County Inc Byron, GA fee schedule · both	2	$394	$394	—	—	—	$394 – $394
24	UCLA West Valley Medical Center West Hills, CA fee schedule · outpatient	1	$5.6k	$5.6k	—	—	—	$5.6k – $5.6k
25	University Medical Center, Inc. Louisville, KY facility · fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49