15101 (HCPCS) by state — Price Transparency

HCPCS · across United States

15101 — Skin Splt Grft T/a/l Add-on

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$1,333 National median

$205 – $2,989 IQR (p25 – p75)

1,855 hospitals filing

52 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $1,094.

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 15101 (HCPCS), with interquartile range
State	Median	p25	p75
WV	$137	$107	$199
IN	$173	$124	$226
MI	$176	$100	$1,683
ND	$176	$110	$271
VT	$178	$140	$267
UT	$179	$107	$179
DE	$180	$177	$180
ME	$196	$163	$320
AS	$233	$138	$329
MT	$252	$177	$337
OR	$252	$144	$2,252
KS	$276	$168	$2,412
WA	$325	$160	$1,341
NH	$374	$193	$710
MA	$397	$190	$2,273
MN	$419	$228	$780
CT	$463	$249	$2,580
WY	$475	$179	$917
IL	$507	$197	$1,322
CO	$533	$183	$1,564
CA	$587	$102	$4,718
TN	$598	$179	$1,714
HI	$602	$176	$4,033
MO	$672	$265	$1,748
RI	$798	$201	$1,656
AR	$992	$285	$2,280
AL	$1,032	$756	$2,869
AZ	$1,232	$204	$2,335
NV	$1,272	$108	$2,516
LA	$1,320	$1,013	$2,278
MD	$1,353	$980	$1,552
OH	$1,356	$223	$2,420
PA	$1,419	$162	$3,790
AK	$1,419	$395	$2,163
WI	$1,445	$676	$2,115
DC	$1,445	$1,165	$2,768
MS	$1,639	$418	$2,623
NM	$1,694	$312	$5,043
NY	$1,780	$375	$3,482
ID	$1,942	$193	$2,562
FL	$1,950	$1,243	$2,702
NE	$2,007	$342	$3,940
GA	$2,028	$298	$6,025
IA	$2,139	$309	$3,620
SD	$2,200	$1,360	$13,972
TX	$2,323	$948	$3,278
NC	$2,325	$361	$2,800
VA	$2,747	$1,688	$6,090
KY	$2,850	$238	$3,607
NJ	$3,155	$2,122	$4,649
SC	$4,268	$444	$17,500
OK	$5,925	$742	$9,681

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

WV	$137	$107	$199	$66	$6,149	13	57	314
IN	$173	$124	$226	$17	$7,307	34	139	1,650
MI	$176	$100	$1,683	<$1	$25,767	54	326	2,065
ND	$176	$110	$271	$1	$5,000	6	14	45
VT	$178	$140	$267	$89	$548	3	27	136
UT	$179	$107	$179	$107	$9,376	34	55	1,010
DE	$180	$177	$180	$177	$180	3	2	5
ME	$196	$163	$320	$70	$7,533	14	18	101
AS	$233	$138	$329	$138	$329	1 ⚠ thin data	1	6
MT	$252	$177	$337	$95	$586	8	34	125
OR	$252	$144	$2,252	$51	$13,320	22	62	310
KS	$276	$168	$2,412	$58	$10,618	28	91	398
WA	$325	$160	$1,341	$20	$18,229	40	95	665
NH	$374	$193	$710	$33	$11,351	7	29	226
MA	$397	$190	$2,273	$1	$50,000	23	222	553
MN	$419	$228	$780	$1	$50,000	32	61	458
CT	$463	$249	$2,580	$192	$10,999	13	11	119
WY	$475	$179	$917	$95	$9,425	8	43	78
IL	$507	$197	$1,322	$6	$19,061	72	261	1,306
CO	$533	$183	$1,564	$55	$22,491	54	85	1,014
CA	$587	$102	$4,718	<$1	$41,530	144	446	3,910
TN	$598	$179	$1,714	$69	$24,272	50	83	2,082
HI	$602	$176	$4,033	$70	$6,060	9	15	49
MO	$672	$265	$1,748	$49	$19,061	35	220	1,206
RI	$798	$201	$1,656	$131	$7,324	5	4	30
AR	$992	$285	$2,280	$39	$29,706	20	127	421
AL	$1,032	$756	$2,869	$71	$47,037	31	145	631
AZ	$1,232	$204	$2,335	$75	$7,704	31	95	618
NV	$1,272	$108	$2,516	$90	$6,461	20	112	373
LA	$1,320	$1,013	$2,278	$25	$17,881	37	109	1,458
MD	$1,353	$980	$1,552	$126	$1,795	3	4	11
OH	$1,356	$223	$2,420	<$1	$11,143	61	103	640
PA	$1,419	$162	$3,790	$40	$44,438	70	212	1,688
AK	$1,419	$395	$2,163	$125	$11,200	6	29	75
WI	$1,445	$676	$2,115	$90	$24,406	66	119	1,260
DC	$1,445	$1,165	$2,768	$205	$11,169	4	12	35
MS	$1,639	$418	$2,623	$65	$6,593	16	75	386
NM	$1,694	$312	$5,043	$90	$10,131	12	42	148
NY	$1,780	$375	$3,482	$1	$60,137	86	173	3,920
ID	$1,942	$193	$2,562	$70	$6,068	15	89	701
FL	$1,950	$1,243	$2,702	$1	$50,000	115	154	2,668
NE	$2,007	$342	$3,940	$51	$19,277	23	81	543
GA	$2,028	$298	$6,025	$47	$50,000	53	73	749
IA	$2,139	$309	$3,620	$77	$10,184	19	112	293
SD	$2,200	$1,360	$13,972	$1	$14,656	14	65	348
TX	$2,323	$948	$3,278	<$1	$52,034	224	270	4,963
NC	$2,325	$361	$2,800	$78	$8,743	29	55	409
VA	$2,747	$1,688	$6,090	$3	$22,198	39	57	586
KY	$2,850	$238	$3,607	$84	$9,962	27	37	313
NJ	$3,155	$2,122	$4,649	$6	$16,802	44	235	3,187
SC	$4,268	$444	$17,500	$1	$50,000	38	40	503
OK	$5,925	$742	$9,681	$94	$18,834	37	40	386