841-4 — Extensive Third Degree Burns With Skin Graft
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT (CPT 841-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/841-4?code_type=CPT
MLA (9th ed.)
“EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT (CPT 841-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/841-4?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT (CPT 841-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/841-4?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $89,537–$153,008 (25th–75th percentile) across 12 hospitals · 42 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 841-4 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | United Healthcare | United Behavioral Medicaid | — | — | — | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Sunshine Medicaid | Sunshine Medicaid | $79,102.08 | — | — | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Medicaid Hmo Apr Eapg | Medicaid Hmo Apr Eapg | $79,102.08 | — | — | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Medicaid Hmo Apr Drg | Medicaid Hmo Apr Drg | $79,102.08 | — | — | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Aetna Health | Aetna Better Health | $79,102.08 | — | — | 2026-05-22 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Clear Health Alliance | Clear Health Alliance | $79,102.08 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Molina Healthcare | Molina Healthcare Fl Kidcare | $79,102.08 | — | — | 2026-05-08 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Medicaid | Medicaid | $79,102.08 | — | — | 2026-05-22 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | United Healthcare | United Healthcare Florida Healthy Kids | $83,057.18 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Aetna Better Health Of Florida | Aetna Better Health Of Florida | $83,057.18 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Sunshine Health Plan | Sunshine Health Plan Medicaid | $83,057.18 | — | — | 2026-05-08 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Prestige Health Choice | Prestige Health Choice | $83,057.18 | — | — | 2026-05-22 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Amerigroup | Simply Healthcare Fl Healthy Kids | $83,057.18 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Amerigroup | Simply Healthcare Plans | $83,057.18 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | United Healthcare | United Healthcare Medicaid | $83,057.18 | — | — | 2026-05-08 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Magellan Complete Care | Magellan Complete Care | $84,639.23 | — | — | 2026-05-22 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Inpatient | Blue Cross Blue Shield | Medicaid- Aca, Fhp, Icp | $86,929.16 | — | — | 2026-05-08 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Positive Healthcare | Positive Healthcare Medicaid | $87,012.29 | — | — | 2026-05-22 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Aetna Better Health Of Florida | Aetna Better Health Fl Healthy Kids | $87,012.29 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Molina Healthcare | Molina Healthcare Of Fl Medicaid | $88,594.33 | — | — | 2026-05-08 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Simply Healthcare Plan | Simply Medicaid | $88,594.33 | — | — | 2026-05-22 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Inpatient | Meridian | Medicaid | $89,537.03 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Cigna | Medicaid | $113,146.03 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Driscoll | Medicaid | $113,146.03 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Driscoll | Medicaid | $113,146.03 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | United Healthcare | Medicaid | $113,146.03 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Cigna | Medicaid | $113,146.03 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Unitedhealthcare | Medicaid | $113,146.03 | — | — | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER - BATON ROUGE Inpatient | Molina Healthcare Of Mississippi - Managed Medicaid | All Plans | $113,251.39 | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER - BATON ROUGE Inpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER - BATON ROUGE Inpatient | Zelis | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER - BATON ROUGE Inpatient | Ochsner Health Plan | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER - BATON ROUGE Inpatient | Optum Va Ccn | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER - BATON ROUGE Inpatient | Peoples Health Network � Medicare Advantage | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER - BATON ROUGE Inpatient | Prime Health Services Ppo | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER - BATON ROUGE Inpatient | Usa Managed Care Network | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER - BATON ROUGE Inpatient | United Healthcare � Commercial Hmo Ppo | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER - BATON ROUGE Inpatient | United Healthcare � Commercial Select | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER - BATON ROUGE Inpatient | Magnolia Health Plan - Mississippi Managed Medicaid | All Plans | $113,251.39 | — | — | 2026-05-27 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Chip | United Chip | $114,118.13 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Medicaid | United Medicaid | $114,118.13 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Chip | United Chip | $114,118.13 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Medicaid | United Medicaid | $114,118.13 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Chip | Upmc Chip | $114,118.13 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Chip | Upmc Chip | $114,118.13 | — | — | 2026-05-23 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | Molina | Medicaid | $115,343.04 | — | — | 2026-05-06 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Molina | Medicaid | $115,343.04 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | Amerigroup | Medicaid | $115,343.04 | — | — | 2026-05-06 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Molina | Medicaid | $115,343.04 | — | — | 2026-05-08 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $119,824.04 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $119,824.04 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $119,824.04 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $119,824.04 | — | — | 2026-05-23 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | First Care Star | Medicaid | $120,835.57 | — | — | 2026-05-06 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Geisinger Medicaid | Geisinger Medicaid | $125,529.94 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Geisinger Medicaid | Geisinger Medicaid | $125,529.94 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $127,182.88 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $127,182.88 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Anthem Blue Cross Blue Shield | Medicaid | $153,007.58 | — | — | 2026-05-14 | MRF ↗ |
| Southwest Healthcare System-wildomar Inpatient | United Healthcare | Medicaid | $153,007.58 | — | — | 2026-05-06 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Anthem Blue Cross Blue Shield | Medicaid | $153,007.58 | — | — | 2026-05-23 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | United Healthcare | Medicaid | $153,007.58 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Molina | Medicaid | $153,007.58 | — | — | 2026-05-08 | MRF ↗ |
| Southwest Healthcare System-wildomar Inpatient | Anthem Blue Cross Blue Shield | Medicaid | $153,007.58 | — | — | 2026-05-06 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Kaiser | Medicaid | $156,067.73 | — | — | 2026-05-23 | MRF ↗ |
| Southwest Healthcare System-wildomar Inpatient | Kaiser | Medicaid | $156,067.73 | — | — | 2026-05-06 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Kaiser | Medicaid | $156,067.73 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Kaiser | Medicaid | $156,067.73 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Blue Shield | Medicaid | $156,832.77 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Blue Shield | Medicaid | $156,832.77 | — | — | 2026-05-23 | MRF ↗ |
| FAMILY HEALTH WEST HOSPITAL Inpatient | Rocky Mountain | Medicaid | $159,275.94 | — | — | 2026-05-18 | MRF ↗ |
| Southwest Healthcare System-wildomar Inpatient | Health Net | Medicaid | $160,045.93 | — | — | 2026-05-06 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Health Net | Medicaid | $160,045.93 | — | — | 2026-05-08 | MRF ↗ |
| Southwest Healthcare System-wildomar Inpatient | Heritage | Medicaid | $162,188.04 | — | — | 2026-05-06 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Heritage | Medicaid | $162,188.04 | — | — | 2026-05-08 | MRF ↗ |
| Southwest Healthcare System-wildomar Inpatient | Iehp | Medicaid | $163,718.11 | — | — | 2026-05-06 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Iehp | Medicaid | $163,718.11 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Iehp | Medicaid | $163,718.11 | — | — | 2026-05-14 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Iehp | Medicaid | $163,718.11 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Lacare | Medicaid | $211,150.46 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Lacare | Medicaid | $211,150.46 | — | — | 2026-05-14 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Inpatient | Boston Medical Center /Wellsense- | Non-Metals (Baco) | $224,242.79 | — | — | 2026-05-08 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Inpatient | Mass Health | Medicaid | $224,242.79 | — | — | 2026-05-08 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Inpatient | Boston Medical Center /Wellsense | Silver | $269,091.35 | — | — | 2026-05-08 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Inpatient | Boston Medical Center /Wellsense - | All Other Metals | $426,061.30 | — | — | 2026-05-08 | MRF ↗ |