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
PR FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 SQ CM
Cedar Rapids, IA
See all hospitals reporting CPT 15201 →Price type
St Luke's Methodist Hospital’s median price of $135 is 90% below the median hospital's median price ($1.4k), higher than 19% of the 1,337 hospitals reporting CPT 15201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 13 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 | Aetna medicare advantage fee schedule · both | $67 | $67 | — | — | — | $67 – $67 |
| 2 | Molina medicare advantage fee schedule · both | $69 | $69 | — | — | — | $69 – $69 |
| 3 | Wellmark medicare advantage fee schedule · both | $69 | $69 | — | — | — | $69 – $69 |
| 4 | Humana medicare advantage fee schedule · both | $71 | $71 | — | — | — | $71 – $71 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $71 | $71 | — | — | — | $71 – $71 |
| 6 | Wellmark commercial fee schedule · both | $135 | $135 | — | — | — | $135 – $135 |
| 7 | Wellmark hmo fee schedule · both | $135 | $135 | — | — | — | $135 – $135 |
| 8 | Wellmark ppo fee schedule · both | $159 | $159 | — | — | — | $159 – $159 |
| 9 | Aetna hmo fee schedule · both | $176 | $176 | — | — | — | $176 – $176 |
| 10 | Cigna commercial fee schedule · both | $180 | $180 | — | — | — | $180 – $180 |
| 11 | Aetna ppo fee schedule · both | $213 | $213 | — | — | — | $213 – $213 |
| 12 | UnitedHealthcare hmo fee schedule · both | $241 | $241 | — | — | — | $241 – $241 |
| 13 | UnitedHealthcare ppo fee schedule · both | $241 | $241 | — | — | — | $241 – $241 |
Last updated: Jan 28, 2026
See Each additional skin graft section, trunk pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.