15777 (CPT) by state — Price Transparency

CPT · across United States

15777 — Acellular Derm Matrix Implt

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

$1,732 National median

$328 – $4,100 IQR (p25 – p75)

1,851 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: $1,096.

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 15777 (CPT), with interquartile range
State	Median	p25	p75
HI	$167	$1	$218
WV	$201	$196	$280
ND	$211	$200	$316
ME	$228	$194	$230
VT	$253	$193	$318
MI	$276	$176	$1,855
KY	$277	$197	$1,589
UT	$311	$311	$583
CA	$318	$195	$1,886
CO	$435	$208	$1,475
IN	$453	$246	$21,371
IL	$466	$287	$2,339
MT	$510	$335	$591
MA	$526	$234	$889
WY	$552	$212	$588
WA	$619	$297	$1,815
RI	$628	$210	$1,656
OR	$662	$193	$5,953
NH	$668	$384	$1,356
GU	$730	$730	$730
CT	$801	$456	$1,379
NC	$824	$215	$963
MN	$911	$413	$3,547
TN	$991	$355	$2,550
NM	$1,241	$1,156	$4,105
AL	$1,285	$449	$2,869
OK	$1,306	$763	$3,244
AK	$1,422	$422	$4,250
AR	$1,460	$281	$3,477
KS	$1,549	$440	$5,584
AZ	$1,574	$468	$3,495
NV	$1,600	$653	$2,441
PA	$1,644	$271	$4,300
NY	$1,798	$504	$3,659
WI	$1,825	$886	$3,052
NE	$1,826	$451	$3,259
MO	$1,995	$581	$7,129
DE	$2,069	$350	$8,629
MD	$2,078	$1,406	$3,472
OH	$2,161	$276	$13,430
TX	$2,234	$1,082	$5,473
MS	$2,352	$472	$13,843
GA	$2,369	$478	$6,316
LA	$2,397	$601	$3,207
FL	$2,772	$1,638	$6,580
SC	$3,351	$1,821	$25,500
VA	$3,448	$1,995	$13,964
DC	$3,802	$3,568	$4,575
ID	$5,380	$2,148	$8,846
NJ	$6,845	$2,913	$20,188
IA	$7,856	$795	$8,350
SD	$10,942	$3,053	$27,850

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

HI	$167	<$1	$218	<$1	$2,837	8	16	76
WV	$201	$196	$280	$93	$4,550	11	58	631
ND	$211	$200	$316	$1	$2,000	6	14	45
ME	$228	$194	$230	$70	$383	13	14	77
VT	$253	$193	$318	$31	$3,079	4	27	166
MI	$276	$176	$1,855	<$1	$21,284	52	332	1,965
KY	$277	$197	$1,589	$134	$11,643	25	24	180
UT	$311	$311	$583	$160	$5,929	34	55	662
CA	$318	$195	$1,886	<$1	$104,796	157	537	3,782
CO	$435	$208	$1,475	$49	$24,704	59	102	968
IN	$453	$246	$21,371	$30	$255,737	42	168	2,156
IL	$466	$287	$2,339	$114	$10,715	63	163	746
MT	$510	$335	$591	$201	$9,512	9	34	108
MA	$526	$234	$889	$1	$50,000	26	123	578
WY	$552	$212	$588	$95	$13,680	8	26	77
WA	$619	$297	$1,815	$79	$36,602	45	101	784
RI	$628	$210	$1,656	$131	$5,391	5	4	28
OR	$662	$193	$5,953	$51	$10,615	11	39	286
NH	$668	$384	$1,356	$92	$8,965	8	39	224
GU	$730	$730	$730	$730	$730	1 ⚠ thin data	4	4
CT	$801	$456	$1,379	$221	$10,999	16	11	138
NC	$824	$215	$963	<$1	$10,074	39	93	1,123
MN	$911	$413	$3,547	<$1	$75,096	31	70	508
TN	$991	$355	$2,550	<$1	$118,288	51	78	1,683
NM	$1,241	$1,156	$4,105	$183	$7,082	11	36	91
AL	$1,285	$449	$2,869	$168	$281,155	26	140	514
OK	$1,306	$763	$3,244	$173	$43,616	34	36	423
AK	$1,422	$422	$4,250	$234	$6,769	4	16	36
AR	$1,460	$281	$3,477	$128	$165,442	20	83	642
KS	$1,549	$440	$5,584	$95	$38,599	24	106	534
AZ	$1,574	$468	$3,495	$178	$170,202	36	86	654
NV	$1,600	$653	$2,441	$179	$6,461	11	99	219
PA	$1,644	$271	$4,300	$40	$145,485	62	110	1,449
NY	$1,798	$504	$3,659	$20	$263,054	104	271	5,774
WI	$1,825	$886	$3,052	$165	$24,406	72	128	1,773
NE	$1,826	$451	$3,259	$79	$9,443	24	81	632
MO	$1,995	$581	$7,129	$102	$155,363	30	64	807
DE	$2,069	$350	$8,629	$204	$9,930	4	3	10
MD	$2,078	$1,406	$3,472	$943	$4,459	2 ⚠ thin data	12	22
OH	$2,161	$276	$13,430	$124	$178,829	65	198	1,039
TX	$2,234	$1,082	$5,473	<$1	$309,788	208	432	5,139
MS	$2,352	$472	$13,843	$167	$128,147	16	76	288
GA	$2,369	$478	$6,316	$8	$68,085	51	86	779
LA	$2,397	$601	$3,207	<$1	$17,386	26	74	489
FL	$2,772	$1,638	$6,580	<$1	$143,458	118	148	3,113
SC	$3,351	$1,821	$25,500	$1	$50,000	42	51	874
VA	$3,448	$1,995	$13,964	$11	$152,420	44	46	1,011
DC	$3,802	$3,568	$4,575	$518	$4,972	2 ⚠ thin data	9	21
ID	$5,380	$2,148	$8,846	$82	$39,284	16	134	931
NJ	$6,845	$2,913	$20,188	$7	$28,263	44	148	2,551
IA	$7,856	$795	$8,350	$63	$26,755	16	111	466
SD	$10,942	$3,053	$27,850	$1	$92,176	10	83	347