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
HAIR TRNSPL 1-15 PUNCH GRFTS
Pasadena, TX
See all hospitals reporting CPT 15775 →Price type
Pmc Hospital, Llc’s median price of $600 is 15% above the median hospital's median price ($523), higher than 55% of the 1,465 hospitals reporting CPT 15775. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 22 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 commercial|exchange case rate · outpatient | $240 | $240 | — | — | — | $240 – $240 |
| 2 | Blue Cross Blue Shield commercial|myblue health exchange case rate · outpatient | $307 | $307 | — | — | — | $307 – $307 |
| 3 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 4 | Cigna Healthspring medicare|all plans case rate · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 5 | Humana medicare|all plans case rate · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 6 | Aetna medicare|all plans case rate · outpatient | $408 | $408 | — | — | — | $408 – $408 |
| 7 | UnitedHealthcare medicare|all plans case rate · outpatient | $408 | $408 | — | — | — | $408 – $408 |
| 8 | Blue Cross Blue Shield commercial|blue premier case rate · outpatient | $463 | $463 | — | — | — | $463 – $463 |
| 9 | Blue Cross Blue Shield commercial|hmo case rate · outpatient | $550 | $550 | — | — | — | $550 – $550 |
| 10 | Ambetter commercial|all plans case rate · outpatient | $600 | $600 | — | — | — | $600 – $600 |
| 11 | Blue Cross Blue Shield commercial|ppo case rate · outpatient | $613 | $613 | — | — | — | $613 – $613 |
| 12 | Aetna commercial|hmo case rate · outpatient | $1.4k | $1.4k | $128 | 9% | — | $1.2k – $1.5k |
| 13 | UnitedHealthcare commercial|exchange case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | Humana commercial|hmo case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 15 | Humana commercial|ppo case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 16 | UnitedHealthcare commercial|charter case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 17 | UnitedHealthcare commercial|hmo case rate · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 18 | UnitedHealthcare commercial|ppo case rate · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 19 | Cigna commercial|surefit case rate · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 20 | Cigna commercial|hmo case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 21 | Phcs commercial|all plans case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 22 | Cigna commercial|ppo case rate · outpatient | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
Last updated: Feb 28, 2026
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