Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure) cost in Ohio
$176
Cash from
$176–$654
Cash range · 11 distinct prices
$1,032
Insurer rates from
32
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Jun 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| West Chester Hospital, LLC | West Chester | $176 | $1,943 | Apr 2026198 days old |
| University of Cincinnati Medical Center, LLC | Cincinnati | $176 | $2,274 | Apr 2026198 days old |
| Marion General Hospital | Marion | $223 | — | Apr 2026198 days old |
| Van Wert County Hospital | Van Wert | $244 | — | Apr 2026198 days old |
| Grady Memorial Hospital | Delaware | $255 | — | Apr 2026198 days old |
| Ohiohealth Mansfield Hospital | Mansfield | $283 | — | Apr 2026198 days old |
| Ohiohealth Shelby Hospital | Shelby | $283 | — | Apr 2026198 days old |
| Hardin Memorial Hospital | Kenton | $343 | — | Apr 2026198 days old |
| Southeastern Ohio Regional Medical Center | Cambridge | $372 | — | Apr 2026198 days old |
| Dayton Osteopathic Hospital | Dayton | $417 | $3,958 | Apr 2026198 days old |
| Greene Memorial Hospital Inc | Xenia | $417 | $3,958 | Apr 2026198 days old |
| Beavercreek Medical Center | Dayton | $417 | $3,958 | Apr 2026198 days old |
| Kettering Medical Center 3 locations · one published price | Dayton, Troy, Miamisburg | $417 | $3,958 | Apr 2026198 days old |
| Fort Hamilton Hospital | Hamilton | $417 | $3,958 | Apr 2026198 days old |
| Berger Hospital | Circleville | $428 | $1,032 | Apr 2026198 days old |
| Ohiohealth O'bleness Hospital | Athens | $491 | — | Apr 2026198 days old |
| Riverside Methodist Hospital | Columbus | $654 | — | Apr 2026198 days old |
| Dublin Methodist Hospital | Dublin | $654 | — | Apr 2026198 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterHc Skin Sub Low Cost Graft Face/S/E/M/N/Ear/O/G/H/F <100 Sq Cm, Ea Add 25 Sq Cm
- Berger HospitalHc Low Cost Appl Sg Hhfg To 100 Cm Ea Addl 25 Cm
- Bethesda Hospital Inc.Low cost skin substitute app
- Clinton Memorial HospitalLow cost skin substitute app
- Dayton Osteopathic HospitalHc Skin Sub Low Cost Graft Face/S/E/M/N/Ear/O/G/H/F <100 Sq Cm, Ea Add 25 Sq Cm
- Doctors HospitalHc Low Cost Appl Sg Hhfg To 100 Cm Ea Addl 25 Cm
- Dublin Methodist HospitalHc Low Cost Appl Sg Hhfg To 100 Cm Ea Addl 25 Cm
- Fairview HospitalLow cost skin substitute app
- Fort Hamilton HospitalHc Skin Sub Low Cost Graft Face/S/E/M/N/Ear/O/G/H/F <100 Sq Cm, Ea Add 25 Sq Cm
- Grady Memorial HospitalHc Low Cost Appl Sg Hhfg To 100 Cm Ea Addl 25 Cm
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.