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
DERMA-FAT-FASCIA GRAFT
Birmingham, AL
See all hospitals reporting CPT 15770 →Price type
Affinity Hospital LLC’s median price of $5.6k is 48% above the median hospital's median price ($3.8k), higher than 74% of the 1,539 hospitals reporting CPT 15770. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna aetna all facility · other · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 2 | Bcbs Al bcbs al all facility · other · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 3 | First Health first health facility · other · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 4 | UnitedHealthcare uhc iex facility · case rate · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 5 | Humana node humana mcr adv facility · fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 6 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 7 | Optum node united optum va ccn facility · fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 8 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 10 | Clover node clover health mcr adv facility · fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 11 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 12 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 13 | Cigna cigna all facility · fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 14 | UnitedHealthcare uhc apa facility · case rate · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 15 | WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 16 | Tricare node tricare facility · fee schedule · outpatient | $28.2k | $28.2k | — | — | — | $28.2k – $28.2k |
| 17 | Optum optum health facility · percent of total billed charges · outpatientfrom % of charges | $120.0k | $120.0k | — | — | — | $120.0k – $120.0k |
| 18 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $165.3k | $165.3k | — | — | — | $165.3k – $165.3k |
| 19 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $186.6k | $186.6k | — | — | — | $186.6k – $186.6k |
| 20 | First Health first health work comp al facility · percent of total billed charges · outpatientfrom % of charges | $208.5k | $208.5k | — | — | — | $208.5k – $208.5k |
Last updated: Apr 1, 2026
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