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
Skin splt grft t/a/l add-on
Devils Lake, ND
See all hospitals reporting CPT 15101 →Price type
Altru Hospital Devils Lake’s median price of $148 is 90% below the median hospital's median price ($1.4k), higher than 14% of the 1,505 hospitals reporting CPT 15101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 7 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 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Medica medicaid managed care plan facility · fee schedule · outpatient | $214 | $214 | $151 | 71% | — | $62 – $365 |
| 4 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $214 | $214 | $151 | 71% | — | $62 – $365 |
| 5 | Medica medicare managed care plan facility · fee schedule · outpatient | $284 | $284 | $171 | 60% | — | $113 – $455 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $723 | $723 | $539 | 75% | — | $184 – $1.3k |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $5k | $5k | — | — | — | $5k – $5k |
Last updated: Mar 1, 2026
See Additional skin graft for larger wound area pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.