15121 (HCPCS) by state — Price Transparency

HCPCS · across United States

15121 — Skn Splt A-grft F/n/hf/g Add

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

$1,559 National median

$248 – $3,547 IQR (p25 – p75)

1,681 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: $1,613.

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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 15121 (HCPCS), with interquartile range
State	Median	p25	p75
ID	$7,014	$5,086	$7,902
SC	$6,726	$3,097	$26,450
SD	$6,165	$455	$7,934
OK	$5,943	$731	$10,484
NJ	$4,248	$3,681	$6,224
AK	$3,204	$267	$5,652
OR	$3,110	$260	$8,628
VA	$3,003	$1,814	$5,117
KY	$2,850	$183	$3,607
TX	$2,287	$1,187	$3,416
NE	$2,279	$868	$8,645
AR	$2,008	$598	$2,498
FL	$1,950	$972	$2,952
GA	$1,937	$347	$6,277
NY	$1,780	$321	$3,475
NM	$1,694	$371	$5,872
WI	$1,639	$828	$2,138
MA	$1,510	$231	$2,592
DC	$1,498	$1,351	$1,794
AZ	$1,448	$288	$2,182
OH	$1,393	$307	$2,389
MD	$1,353	$980	$1,552
NV	$1,161	$128	$2,516
MS	$1,096	$455	$2,623
LA	$1,042	$1,013	$1,550
AL	$976	$511	$1,676
IL	$889	$221	$2,648
MO	$853	$317	$3,175
CA	$848	$152	$4,045
RI	$798	$242	$1,656
PA	$793	$189	$3,618
IA	$712	$233	$3,560
CT	$710	$314	$3,199
HI	$602	$291	$4,219
TN	$598	$198	$1,635
MN	$445	$230	$914
NH	$444	$209	$853
AS	$427	$165	$493
WY	$393	$128	$518
WA	$382	$299	$1,502
CO	$355	$201	$1,515
NC	$322	$193	$2,800
KS	$310	$223	$3,309
ME	$218	$193	$421
MT	$215	$196	$342
DE	$214	$198	$214
UT	$201	$129	$201
ND	$196	$130	$202
VT	$190	$160	$221
IN	$181	$142	$356
MI	$179	$113	$1,476
WV	$143	$122	$201

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

ID	$7,014	$5,086	$7,902	$78	$8,417	11	60	498
SC	$6,726	$3,097	$26,450	$1	$50,000	34	26	424
SD	$6,165	$455	$7,934	$99	$11,800	11	54	304
OK	$5,943	$731	$10,484	$112	$18,834	36	38	340
NJ	$4,248	$3,681	$6,224	$9	$16,992	42	208	3,129
AK	$3,204	$267	$5,652	$148	$11,200	4	16	36
OR	$3,110	$260	$8,628	$85	$13,320	14	40	147
VA	$3,003	$1,814	$5,117	$14	$24,734	40	58	570
KY	$2,850	$183	$3,607	$108	$9,962	24	24	284
TX	$2,287	$1,187	$3,416	<$1	$28,260	220	241	5,063
NE	$2,279	$868	$8,645	$73	$19,277	20	66	410
AR	$2,008	$598	$2,498	$62	$5,150	11	70	228
FL	$1,950	$972	$2,952	$1	$50,000	114	179	2,680
GA	$1,937	$347	$6,277	$57	$50,000	49	69	723
NY	$1,780	$321	$3,475	$2	$50,000	81	232	4,109
NM	$1,694	$371	$5,872	$107	$10,131	11	35	129
WI	$1,639	$828	$2,138	$108	$24,406	60	81	886
MA	$1,510	$231	$2,592	$1	$13,969	21	196	395
DC	$1,498	$1,351	$1,794	$400	$4,169	5	12	29
AZ	$1,448	$288	$2,182	$76	$6,431	27	46	472
OH	$1,393	$307	$2,389	<$1	$11,143	55	86	553
MD	$1,353	$980	$1,552	$126	$1,795	3	4	11
NV	$1,161	$128	$2,516	$124	$6,461	19	111	378
MS	$1,096	$455	$2,623	$77	$6,593	14	58	308
LA	$1,042	$1,013	$1,550	$28	$17,881	33	95	1,256
AL	$976	$511	$1,676	$115	$27,017	21	92	379
IL	$889	$221	$2,648	$15	$18,837	66	206	1,055
MO	$853	$317	$3,175	$79	$50,000	29	155	751
CA	$848	$152	$4,045	$1	$55,317	140	381	3,055
RI	$798	$242	$1,656	$131	$7,324	5	4	30
PA	$793	$189	$3,618	$40	$47,434	57	201	1,433
IA	$712	$233	$3,560	$97	$9,248	12	25	97
CT	$710	$314	$3,199	$214	$10,999	13	11	131
HI	$602	$291	$4,219	$83	$6,060	8	15	45
TN	$598	$198	$1,635	$83	$6,446	44	58	1,717
MN	$445	$230	$914	$1	$50,000	27	41	327
NH	$444	$209	$853	$39	$11,351	6	29	219
AS	$427	$165	$493	$165	$493	1 ⚠ thin data	1	9
WY	$393	$128	$518	$95	$9,425	6	29	50
WA	$382	$299	$1,502	$7	$18,229	35	63	494
CO	$355	$201	$1,515	$60	$22,491	50	78	831
NC	$322	$193	$2,800	$78	$5,724	27	47	239
KS	$310	$223	$3,309	$97	$9,926	24	88	353
ME	$218	$193	$421	$70	$7,533	11	18	79
MT	$215	$196	$342	$31	$762	8	34	125
DE	$214	$198	$214	$198	$214	3	2	5
UT	$201	$129	$201	$129	$9,376	33	41	922
ND	$196	$130	$202	$1	$5,000	6	11	41
VT	$190	$160	$221	$106	$598	1 ⚠ thin data	20	74
IN	$181	$142	$356	$21	$5,265	31	108	1,086
MI	$179	$113	$1,476	<$1	$24,356	50	250	1,943
WV	$143	$122	$201	$78	$774	9	45	149