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
Wnd prep f/n/hf/g addl cm
Montgomery, AL
See all hospitals reporting CPT 15005 →Price type
Jackson Hospital’s median price of $802 is 7% above the median hospital's median price ($750), higher than 51% of the 1,478 hospitals reporting CPT 15005. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 33 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 | UnitedHealthcare 310300 fee schedule · both | $211 | $211 | — | — | — | $211 – $211 |
| 2 | UnitedHealthcare 310300 fee schedule · inpatient | $211 | $211 | — | — | — | $211 – $211 |
| 3 | UnitedHealthcare 310300 fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 4 | Cigna 300301 fee schedule · both | $707 | $707 | — | — | — | $707 – $707 |
| 5 | Cigna 300301 fee schedule · inpatient | $707 | $707 | — | — | — | $707 – $707 |
| 6 | Cigna 300301 fee schedule · outpatient | $707 | $707 | — | — | — | $707 – $707 |
| 7 | Humana 300376 fee schedule · both | $898 | $898 | — | — | — | $898 – $898 |
| 8 | Humana 300376 fee schedule · inpatient | $898 | $898 | — | — | — | $898 – $898 |
| 9 | Humana 300376 fee schedule · outpatient | $898 | $898 | — | — | — | $898 – $898 |
| 10 | Humana 510122 fee schedule · both | $898 | $898 | — | — | — | $898 – $898 |
| 11 | Humana 510122 fee schedule · inpatient | $898 | $898 | — | — | — | $898 – $898 |
| 12 | Humana 510122 fee schedule · outpatient | $898 | $898 | — | — | — | $898 – $898 |
| 13 | Bcbs Al 100100 fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | Bcbs Al 100100 fee schedule · inpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | Bcbs Al 100100 fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | Bcbs Al 100109 fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Bcbs Al 100109 fee schedule · inpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Bcbs Al 100109 fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Blue Cross Blue Shield 100101 fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | Blue Cross Blue Shield 100101 fee schedule · inpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | Blue Cross Blue Shield 100101 fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Blue Cross Blue Shield 100102 fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Blue Cross Blue Shield 100102 fee schedule · inpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | Blue Cross Blue Shield 100102 fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Blue Cross Blue Shield 100104 fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Jun 23, 2026
See Additional graft-site preparation: face, scalp, hands, feet pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.