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%
Lititz, PA
See all hospitals reporting CPT 15120 →Price type
UPMC Lititz’s median price of $4.6k is 26% above the median hospital's median price ($3.7k), higher than 72% of the 1,887 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: 6 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 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | Highmark medicare facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 4 | Aetna medicare facility · fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 5 | Cigna medicare facility · fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 6 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 8 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 9 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 11 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 13 | 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 |
| 14 | 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 |
| 15 | Highmark commercial - children's health insurance facility · fee schedule · outpatient | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 16 | Highmark medicaid facility · fee schedule · outpatient | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 17 | Highmark commercial facility · fee schedule · outpatient | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
Last updated: Mar 6, 2026
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