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).

$1,536 National median

$245 – $3,520 IQR (p25 – p75)

1,719 hospitals filing

53 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $1,558.

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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	$6,979	$4,625	$7,891
SD	$6,165	$455	$7,934
OK	$5,925	$766	$9,926
SC	$4,819	$1,137	$17,500
NJ	$4,248	$3,681	$6,232
VA	$3,555	$1,995	$5,354
AK	$3,204	$267	$5,652
OR	$3,110	$260	$8,150
KY	$2,850	$388	$3,607
NE	$2,279	$814	$8,393
TX	$2,236	$1,078	$3,310
AR	$2,008	$631	$2,508
GA	$1,970	$344	$6,277
FL	$1,950	$972	$2,948
NY	$1,780	$362	$3,541
NM	$1,694	$371	$5,872
WI	$1,559	$755	$2,068
DC	$1,498	$1,351	$1,794
OH	$1,393	$308	$2,387
MD	$1,353	$980	$1,552
AZ	$1,315	$194	$2,407
NV	$1,161	$131	$2,516
MS	$1,096	$455	$2,623
LA	$1,042	$706	$1,333
AL	$976	$511	$1,722
PA	$890	$207	$3,721
CA	$848	$152	$4,048
MO	$846	$314	$3,175
IL	$846	$224	$2,648
RI	$798	$242	$1,656
GU	$766	$766	$766
CT	$710	$314	$3,199
TN	$619	$201	$1,848
HI	$602	$291	$4,219
IA	$571	$224	$3,525
WY	$497	$135	$529
MA	$492	$225	$2,592
MN	$445	$214	$911
NH	$444	$208	$852
AS	$427	$165	$493
WA	$382	$299	$1,502
CO	$353	$200	$1,515
KS	$311	$223	$3,309
NC	$267	$195	$2,800
ME	$215	$215	$418
MT	$215	$196	$342
DE	$214	$198	$214
UT	$201	$129	$201
ND	$196	$130	$298
MI	$191	$112	$1,502
VT	$190	$160	$221
IN	$181	$142	$346
WV	$143	$127	$203

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	$6,979	$4,625	$7,891	$78	$8,417	12	63	524
SD	$6,165	$455	$7,934	$99	$11,800	11	54	304
OK	$5,925	$766	$9,926	$112	$18,834	38	42	370
SC	$4,819	$1,137	$17,500	$1	$50,000	36	38	503
NJ	$4,248	$3,681	$6,232	$9	$16,992	42	208	3,116
VA	$3,555	$1,995	$5,354	$3	$24,734	41	58	624
AK	$3,204	$267	$5,652	$148	$11,200	4	16	36
OR	$3,110	$260	$8,150	$85	$13,320	14	40	146
KY	$2,850	$388	$3,607	$108	$9,962	24	24	266
NE	$2,279	$814	$8,393	$73	$19,277	20	68	407
TX	$2,236	$1,078	$3,310	<$1	$28,260	218	239	5,140
AR	$2,008	$631	$2,508	$62	$5,150	11	72	228
GA	$1,970	$344	$6,277	$57	$50,000	50	69	722
FL	$1,950	$972	$2,948	$1	$50,000	117	181	2,724
NY	$1,780	$362	$3,541	$2	$50,000	85	243	4,170
NM	$1,694	$371	$5,872	$107	$10,131	11	35	129
WI	$1,559	$755	$2,068	$108	$24,406	62	90	1,152
DC	$1,498	$1,351	$1,794	$400	$4,169	5	12	29
OH	$1,393	$308	$2,387	<$1	$11,143	57	86	555
MD	$1,353	$980	$1,552	$126	$1,795	3	4	11
AZ	$1,315	$194	$2,407	$76	$7,704	26	50	473
NV	$1,161	$131	$2,516	$124	$6,461	19	112	370
MS	$1,096	$455	$2,623	$77	$6,593	13	53	307
LA	$1,042	$706	$1,333	$28	$17,881	35	110	1,292
AL	$976	$511	$1,722	$115	$27,017	23	92	388
PA	$890	$207	$3,721	$40	$47,434	57	205	1,493
CA	$848	$152	$4,048	<$1	$55,317	145	397	3,264
MO	$846	$314	$3,175	$79	$50,000	30	155	785
IL	$846	$224	$2,648	$15	$18,837	66	208	1,058
RI	$798	$242	$1,656	$131	$7,324	5	4	30
GU	$766	$766	$766	$766	$766	1 ⚠ thin data	4	4
CT	$710	$314	$3,199	$214	$10,999	13	11	131
TN	$619	$201	$1,848	$83	$6,446	45	58	1,731
HI	$602	$291	$4,219	$83	$6,060	8	15	45
IA	$571	$224	$3,525	$97	$10,184	13	26	97
WY	$497	$135	$529	$95	$9,425	6	28	57
MA	$492	$225	$2,592	$1	$50,000	22	196	430
MN	$445	$214	$911	$1	$50,000	27	44	330
NH	$444	$208	$852	$39	$11,351	7	29	220
AS	$427	$165	$493	$165	$493	1 ⚠ thin data	1	9
WA	$382	$299	$1,502	$7	$18,229	35	63	496
CO	$353	$200	$1,515	$60	$22,491	51	78	834
KS	$311	$223	$3,309	$97	$10,618	24	89	363
NC	$267	$195	$2,800	$78	$5,724	27	48	251
ME	$215	$215	$418	$70	$7,533	14	18	93
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	42	984
ND	$196	$130	$298	$1	$5,000	6	14	45
MI	$191	$112	$1,502	<$1	$24,356	50	250	1,925
VT	$190	$160	$221	$106	$598	1 ⚠ thin data	20	74
IN	$181	$142	$346	$21	$5,265	32	108	1,112
WV	$143	$127	$203	$78	$774	9	45	147