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 HAIR XPLANT PUNCH GRFT 1-15
Cedar Rapids, IA
See all hospitals reporting CPT 15775 →Price type
St Luke's Methodist Hospital’s median price of $429 is 18% below the median hospital's median price ($523), higher than 34% 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: 6 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 | Aetna medicare advantage fee schedule · both | $228 | $228 | — | — | — | $228 – $228 |
| 2 | Molina medicare advantage fee schedule · both | $232 | $232 | — | — | — | $232 – $232 |
| 3 | Wellmark medicare advantage fee schedule · both | $232 | $232 | — | — | — | $232 – $232 |
| 4 | Humana medicare advantage fee schedule · both | $239 | $239 | — | — | — | $239 – $239 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $239 | $239 | — | — | — | $239 – $239 |
| 6 | Aetna medicare advantage case rate · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 7 | Molina medicare advantage case rate · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 8 | Wellmark medicare advantage case rate · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 9 | Humana medicare advantage case rate · outpatient | $389 | $389 | — | — | — | $389 – $389 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $389 | $389 | — | — | — | $389 – $389 |
| 11 | Wellmark commercial fee schedule · both | $456 | $456 | — | — | — | $456 – $456 |
| 12 | Wellmark hmo fee schedule · both | $456 | $456 | — | — | — | $456 – $456 |
| 13 | Aetna hmo fee schedule · both | $476 | $476 | — | — | — | $476 – $476 |
| 14 | Wellmark ppo fee schedule · both | $536 | $536 | — | — | — | $536 – $536 |
| 15 | Aetna ppo fee schedule · both | $579 | $579 | — | — | — | $579 – $579 |
| 16 | Cigna commercial fee schedule · both | $604 | $604 | — | — | — | $604 – $604 |
| 17 | Aetna hmo fee schedule · outpatient | $780 | $780 | — | — | — | $780 – $780 |
| 18 | UnitedHealthcare hmo fee schedule · both | $798 | $798 | — | — | — | $798 – $798 |
| 19 | UnitedHealthcare ppo fee schedule · both | $798 | $798 | — | — | — | $798 – $798 |
| 20 | Aetna ppo fee schedule · outpatient | $811 | $811 | — | — | — | $811 – $811 |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $995 | $995 | — | — | — | $995 – $995 |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $995 | $995 | — | — | — | $995 – $995 |
Last updated: Jan 28, 2026
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