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
15101,LT SKIN SPLT GRFT T/A/L ADD-ON
Peru, IN
See all hospitals reporting CPT 15101 →Price type
Dukes Health System LLC’s median price of $240 is 83% below the median hospital's median price ($1.4k), higher than 27% 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: 10 payers, 25 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 | Tricare node tricare facility · fee schedule · outpatient | $104 | $104 | $27 | 26% | — | $77 – $132 |
| 2 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $111 | $111 | $29 | 26% | — | $82 – $140 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $111 | $111 | $29 | 26% | — | $82 – $140 |
| 4 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $111 | $111 | $29 | 26% | — | $82 – $140 |
| 5 | Anthem anthem in hip facility · fee schedule · outpatient | $113 | $113 | $29 | 26% | — | $83 – $142 |
| 6 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $113 | $113 | $29 | 26% | — | $83 – $142 |
| 7 | Optum node united optum va ccn facility · per diem · outpatient | $113 | $113 | $29 | 26% | — | $83 – $142 |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $113 | $113 | $30 | 26% | — | $84 – $143 |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $113 | $113 | $30 | 26% | — | $84 – $143 |
| 10 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $169 | $169 | $44 | 26% | — | $125 – $213 |
| 11 | Anthem anthem in work comp facility · other · outpatient | $180 | $180 | $47 | 26% | — | $133 – $228 |
| 12 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $203 | $203 | $53 | 26% | — | $150 – $256 |
| 13 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $203 | $203 | $53 | 26% | — | $150 – $256 |
| 14 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $203 | $203 | $53 | 26% | — | $150 – $256 |
| 15 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $203 | $203 | $53 | 26% | — | $150 – $256 |
| 16 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $239 | $239 | $62 | 26% | — | $177 – $301 |
| 17 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $268 | $268 | $70 | 26% | — | $198 – $338 |
| 18 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $277 | $277 | $72 | 26% | — | $205 – $350 |
| 19 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $451 | $451 | $118 | 26% | — | $334 – $569 |
| 20 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $451 | $451 | $118 | 26% | — | $334 – $569 |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $457 | $457 | $119 | 26% | — | $338 – $576 |
| 22 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $457 | $457 | $119 | 26% | — | $338 – $576 |
| 23 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $457 | $457 | $119 | 26% | — | $338 – $576 |
| 24 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $457 | $457 | $119 | 26% | — | $338 – $576 |
| 25 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $564 | $564 | $147 | 26% | — | $417 – $711 |
Last updated: Apr 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.