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).

$1,550 National median

$245 – $3,543 IQR (p25 – p75)

1,712 hospitals filing

52 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: $1,558.

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 15121 (HCPCS), with interquartile range
State	Median	p25	p75
WV	$143	$127	$203
IN	$181	$142	$356
VT	$190	$160	$221
MI	$191	$112	$1,502
ND	$196	$130	$298
UT	$201	$129	$201
DE	$214	$198	$214
MT	$215	$196	$342
ME	$215	$215	$418
KS	$311	$223	$3,309
NC	$322	$193	$2,800
CO	$353	$200	$1,515
WA	$382	$299	$1,502
AS	$427	$165	$493
NH	$444	$208	$852
MN	$445	$226	$911
WY	$491	$128	$518
MA	$492	$225	$2,592
IA	$571	$224	$3,525
HI	$602	$291	$4,219
TN	$619	$201	$1,848
CT	$710	$314	$3,199
RI	$798	$242	$1,656
IL	$826	$222	$2,648
MO	$846	$314	$3,175
CA	$848	$153	$4,112
PA	$890	$207	$3,721
AL	$976	$511	$1,722
LA	$1,042	$1,013	$1,411
MS	$1,096	$455	$2,623
NV	$1,161	$128	$2,516
AZ	$1,315	$194	$2,407
MD	$1,353	$980	$1,552
OH	$1,393	$308	$2,387
DC	$1,498	$1,351	$1,794
WI	$1,639	$759	$2,115
NM	$1,694	$371	$5,872
NY	$1,780	$362	$3,543
FL	$1,950	$972	$2,948
GA	$1,970	$344	$6,277
AR	$2,008	$598	$2,498
TX	$2,234	$1,078	$3,309
NE	$2,279	$814	$8,393
KY	$2,850	$388	$3,607
OR	$3,110	$260	$8,150
AK	$3,204	$267	$5,652
VA	$3,555	$1,995	$5,354
NJ	$4,248	$3,681	$6,224
SC	$4,819	$1,137	$17,500
OK	$5,925	$748	$10,286
SD	$6,165	$455	$7,934
ID	$6,979	$4,625	$7,891

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	$143	$127	$203	$78	$774	9	45	147
IN	$181	$142	$356	$21	$5,265	31	108	1,086
VT	$190	$160	$221	$106	$598	1 ⚠ thin data	20	74
MI	$191	$112	$1,502	<$1	$24,356	50	250	1,925
ND	$196	$130	$298	$1	$5,000	6	14	45
UT	$201	$129	$201	$129	$9,376	33	42	982
DE	$214	$198	$214	$198	$214	3	2	5
MT	$215	$196	$342	$31	$762	8	34	125
ME	$215	$215	$418	$70	$7,533	14	18	93
KS	$311	$223	$3,309	$97	$10,618	24	89	363
NC	$322	$193	$2,800	$78	$5,724	27	47	239
CO	$353	$200	$1,515	$60	$22,491	51	78	834
WA	$382	$299	$1,502	$7	$18,229	35	63	496
AS	$427	$165	$493	$165	$493	1 ⚠ thin data	1	9
NH	$444	$208	$852	$39	$11,351	7	29	220
MN	$445	$226	$911	$1	$50,000	27	41	327
WY	$491	$128	$518	$95	$9,425	6	28	49
MA	$492	$225	$2,592	$1	$50,000	22	196	430
IA	$571	$224	$3,525	$97	$10,184	13	26	97
HI	$602	$291	$4,219	$83	$6,060	8	15	45
TN	$619	$201	$1,848	$83	$6,446	45	58	1,731
CT	$710	$314	$3,199	$214	$10,999	13	11	131
RI	$798	$242	$1,656	$131	$7,324	5	4	30
IL	$826	$222	$2,648	$15	$18,837	66	208	1,066
MO	$846	$314	$3,175	$79	$50,000	30	155	785
CA	$848	$153	$4,112	<$1	$55,317	144	390	3,235
PA	$890	$207	$3,721	$40	$47,434	57	205	1,493
AL	$976	$511	$1,722	$115	$27,017	23	92	388
LA	$1,042	$1,013	$1,411	$28	$17,881	34	102	1,270
MS	$1,096	$455	$2,623	$77	$6,593	13	53	307
NV	$1,161	$128	$2,516	$124	$6,461	19	111	369
AZ	$1,315	$194	$2,407	$76	$7,704	26	50	473
MD	$1,353	$980	$1,552	$126	$1,795	3	4	11
OH	$1,393	$308	$2,387	<$1	$11,143	57	86	555
DC	$1,498	$1,351	$1,794	$400	$4,169	5	12	29
WI	$1,639	$759	$2,115	$108	$24,406	61	85	1,020
NM	$1,694	$371	$5,872	$107	$10,131	11	35	129
NY	$1,780	$362	$3,543	$2	$50,000	85	243	4,165
FL	$1,950	$972	$2,948	$1	$50,000	116	181	2,721
GA	$1,970	$344	$6,277	$57	$50,000	50	69	722
AR	$2,008	$598	$2,498	$62	$5,150	11	70	228
TX	$2,234	$1,078	$3,309	<$1	$28,260	218	239	5,185
NE	$2,279	$814	$8,393	$73	$19,277	20	67	407
KY	$2,850	$388	$3,607	$108	$9,962	24	24	266
OR	$3,110	$260	$8,150	$85	$13,320	14	40	146
AK	$3,204	$267	$5,652	$148	$11,200	4	16	36
VA	$3,555	$1,995	$5,354	$3	$24,734	41	58	624
NJ	$4,248	$3,681	$6,224	$9	$16,992	42	208	3,129
SC	$4,819	$1,137	$17,500	$1	$50,000	36	38	503
OK	$5,925	$748	$10,286	$112	$18,834	37	41	362
SD	$6,165	$455	$7,934	$99	$11,800	11	54	304
ID	$6,979	$4,625	$7,891	$78	$8,417	12	63	524