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
FTH/GFT FR N/E/E/L 20 SQCM/<
San Angelo, TX
See all hospitals reporting CPT 15260 →Price type
Shannon River Crest Hospital’s median price of $2.8k is 24% above the median hospital's median price ($2.3k), higher than 66% of the 1,918 hospitals reporting CPT 15260. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Molina managed medicaid facility · fee schedule · outpatient | $744 | $744 | — | — | — | $744 – $744 |
| 2 | Humana medicare advantage facility · case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | Ambetter ppo facility · case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 4 | Bcbs Tx hmo facility · fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 5 | Bcbs Tx bav facility · fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 6 | Bcbs Tx ppo facility · fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
Last updated: Dec 8, 2025
See Skin graft to eyelids and lips pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.