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
HC SKN SPLT A-GRFT FAC/NCK/HF/G 100 SQ CM/1%
Hanover, PA
See all hospitals reporting CPT 15120 →Price type
UPMC Hanover’s median price of $5.6k is 52% above the median hospital's median price ($3.7k), higher than 81% of the 1,899 hospitals reporting CPT 15120. 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, 17 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 pa medicaid facility · fee schedule · outpatient | $740 | $740 | — | — | — | $740 – $740 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | Highmark medicare facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 4 | Humana medicare facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 5 | Aetna medicare facility · fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 6 | Cigna medicare facility · fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 8 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 9 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 10 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 12 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 13 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 14 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 15 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 16 | Highmark medicaid facility · fee schedule · outpatient | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 17 | Highmark commercial facility · fee schedule · outpatient | $12.4k | $12.4k | — | — | — | $12.4k – $12.4k |
Last updated: Mar 6, 2026
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