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 greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children cost in Indiana
$852
Cash from
$852–$1,796
Cash range · 10 distinct prices
$159
Insurer rates from
12
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| Indiana University Health Tipton Hospital Inc. | Tipton | $1,512 | $159 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | $1,140 | $159 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $1,003 | $159 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | $1,140 | $159 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | $1,146 | $159 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | $1,621 | $159 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | $1,796 | $159 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $1,252 | $159 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $1,140 | $159 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | $1,541 | $159 | Mar 2026205 days old |
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | $852 | $159 | Mar 2026205 days old |
| Indiana University Health Bloomington Inc. | Bloomington | $988 | $159 | Mar 2026205 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 CenterLow cost skin substitute app
- Berger HospitalLow cost skin substitute app
- Bethesda Hospital Inc.Low cost skin substitute app
- Clinton Memorial HospitalLow cost skin substitute app
- Dayton Osteopathic HospitalLow cost skin substitute app
- Doctors HospitalLow cost skin substitute app
- Dublin Methodist HospitalLow cost skin substitute app
- Fairview HospitalLow cost skin substitute app
- Fort Hamilton HospitalLow cost skin substitute app
- Grant Medical CenterLow cost skin substitute app
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.