15120 (HCPCS) by state — Price Transparency

HCPCS · across United States

15120 — Skn Splt A-grft Fac/nck/hf/g

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

$3,642 National median

$1,802 – $5,463 IQR (p25 – p75)

2,433 hospitals filing

53 states

View hospital-by-hospital → Raw rate rows →

Estimate your cost

What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $3,542.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

Loading estimate…

Median negotiated rate, by state

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

Median negotiated rate by state for 15120 (HCPCS), with interquartile range
State	Median	p25	p75
DE	$11,488	$3,944	$12,821
SD	$6,040	$3,487	$9,004
ID	$5,574	$3,514	$7,453
AK	$5,022	$2,258	$5,639
CA	$4,535	$1,577	$5,904
DC	$4,422	$3,680	$6,446
OK	$4,402	$2,417	$7,474
OR	$4,333	$2,204	$7,244
MD	$4,324	$2,376	$5,159
WI	$4,322	$3,279	$7,804
NJ	$4,311	$3,321	$6,703
CT	$4,270	$2,466	$6,267
FL	$4,153	$2,050	$8,971
ND	$4,141	$3,620	$6,335
RI	$3,965	$3,620	$5,234
VA	$3,859	$3,273	$7,466
NV	$3,816	$2,059	$4,355
NC	$3,802	$2,364	$5,165
IL	$3,798	$1,107	$5,492
NM	$3,766	$2,343	$7,421
AZ	$3,706	$2,509	$4,292
TX	$3,702	$1,840	$5,431
WA	$3,691	$3,691	$6,318
PA	$3,680	$2,558	$6,321
CO	$3,661	$1,900	$6,334
NE	$3,639	$3,040	$4,727
ME	$3,614	$1,615	$8,164
MN	$3,593	$1,834	$3,932
WV	$3,582	$2,217	$3,779
HI	$3,577	$1,321	$4,340
LA	$3,564	$2,658	$8,593
MS	$3,560	$2,658	$5,982
SC	$3,543	$2,550	$5,438
GA	$3,542	$1,588	$5,153
MA	$3,526	$2,535	$4,650
OH	$3,489	$1,826	$5,360
IA	$3,489	$1,753	$4,000
MO	$3,417	$1,770	$4,473
AL	$3,328	$2,903	$4,459
AR	$3,308	$1,733	$3,758
KY	$3,298	$2,867	$4,314
NY	$3,262	$1,415	$4,490
KS	$3,101	$1,542	$5,062
TN	$2,900	$1,538	$3,543
PR	$2,635	$2,635	$2,635
NH	$2,175	$1,216	$4,686
WY	$2,027	$1,089	$3,161
IN	$1,822	$939	$3,771
MT	$1,590	$955	$3,661
MI	$1,467	$602	$3,570
VT	$995	$655	$3,256
AS	$887	$740	$4,601
UT	$580	$474	$3,588

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

DE	$11,488	$3,944	$12,821	$814	$18,485	5	19	53
SD	$6,040	$3,487	$9,004	$30	$20,631	15	121	689
ID	$5,574	$3,514	$7,453	$326	$21,850	18	153	881
AK	$5,022	$2,258	$5,639	$771	$21,552	6	29	76
CA	$4,535	$1,577	$5,904	$1	$97,856	192	796	7,940
DC	$4,422	$3,680	$6,446	$937	$26,454	4	15	48
OK	$4,402	$2,417	$7,474	$133	$18,834	47	94	647
OR	$4,333	$2,204	$7,244	$93	$38,862	30	126	888
MD	$4,324	$2,376	$5,159	$943	$7,280	4	20	67
WI	$4,322	$3,279	$7,804	$8	$25,932	83	157	2,344
NJ	$4,311	$3,321	$6,703	$11	$50,663	51	303	5,212
CT	$4,270	$2,466	$6,267	$774	$16,479	17	23	285
FL	$4,153	$2,050	$8,971	$1	$986,568	132	295	4,563
ND	$4,141	$3,620	$6,335	$406	$13,815	14	62	242
RI	$3,965	$3,620	$5,234	$912	$22,377	7	24	151
VA	$3,859	$3,273	$7,466	$72	$25,894	50	73	1,084
NV	$3,816	$2,059	$4,355	$471	$28,516	22	163	779
NC	$3,802	$2,364	$5,165	$333	$18,367	49	144	1,623
IL	$3,798	$1,107	$5,492	$23	$26,001	84	440	3,046
NM	$3,766	$2,343	$7,421	$668	$47,068	15	84	418
AZ	$3,706	$2,509	$4,292	$157	$14,869	42	134	1,234
TX	$3,702	$1,840	$5,431	<$1	$75,701	265	503	12,010
WA	$3,691	$3,691	$6,318	$7	$28,403	53	133	2,569
PA	$3,680	$2,558	$6,321	$1	$41,248	90	328	4,419
CO	$3,661	$1,900	$6,334	$49	$21,717	62	191	1,767
NE	$3,639	$3,040	$4,727	$79	$19,855	26	97	976
ME	$3,614	$1,615	$8,164	$331	$21,896	24	22	243
MN	$3,593	$1,834	$3,932	$77	$50,000	62	98	1,247
WV	$3,582	$2,217	$3,779	$196	$25,580	17	98	580
HI	$3,577	$1,321	$4,340	<$1	$9,554	14	42	222
LA	$3,564	$2,658	$8,593	$121	$17,881	44	217	1,576
MS	$3,560	$2,658	$5,982	$9	$46,158	30	207	1,052
SC	$3,543	$2,550	$5,438	$1	$30,317	34	46	637
GA	$3,542	$1,588	$5,153	$52	$50,000	63	123	2,045
MA	$3,526	$2,535	$4,650	$1	$14,061	33	349	1,142
OH	$3,489	$1,826	$5,360	$85	$31,898	89	290	2,295
IA	$3,489	$1,753	$4,000	$64	$10,240	39	196	1,021
MO	$3,417	$1,770	$4,473	$4	$30,000	48	275	1,827
AL	$3,328	$2,903	$4,459	$1	$112,030	45	278	1,382
AR	$3,308	$1,733	$3,758	$93	$27,783	27	229	902
KY	$3,298	$2,867	$4,314	$206	$20,196	50	105	1,368
NY	$3,262	$1,415	$4,490	$3	$70,814	116	410	8,868
KS	$3,101	$1,542	$5,062	<$1	$24,357	42	164	863
TN	$2,900	$1,538	$3,543	$125	$21,595	52	188	3,050
PR	$2,635	$2,635	$2,635	$2,635	$2,899	1 ⚠ thin data	5	5
NH	$2,175	$1,216	$4,686	$325	$26,641	13	89	592
WY	$2,027	$1,089	$3,161	$69	$9,425	12	57	109
IN	$1,822	$939	$3,771	$110	$21,000	57	347	3,375
MT	$1,590	$955	$3,661	$139	$10,615	15	54	185
MI	$1,467	$602	$3,570	<$1	$22,215	77	385	3,063
VT	$995	$655	$3,256	<$1	$5,534	5	33	184
AS	$887	$740	$4,601	$740	$4,601	1 ⚠ thin data	1	9
UT	$580	$474	$3,588	$474	$9,592	33	41	1,272