Code: 15276

Description:
HC SUB GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM
Other Descriptions:
HC SUB GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM
LC APPSKN HD/HF/G EA 25SQCM
APP SKIN HD/F/H/G EA 25SQCM
AP GF EX WOTAL<100CM EAAD25
HC APLY GFT NON TAL <100CM ADD 25
AP SK SUB F/N/G/HF ADD 25 SQCM WND<100SQ
APPLICATION APLIGRAF ADDIT 25CM
APPLICATION APLIGRAF ADDIT 25 SQ CM
HIGH COST SUB GRFT F/S/N/H/F/G/M/D<100SQ CM EA ADDL25SQ CM
Related codes:
Code: 15271
APP GRFT T/A/L 100SQCM<
Code: 15272
APP GRFT T/A/L25SQCM ADD
Code: 15273
APP GRFT T/A/L >100SQCM
Code: 15274
APP GRFT T/A/L100SQCMADD
Code: 15275
APP GRFT F/N/H 100SQCM<
Code: 15277
APP GRFT F/N/H >100SQCM
Code: 15278
APP GRFT F/N/H100SQCMADD
State Average # Hospitals In Database
New Jersey (NJ) $60 1
Vermont (VT) $69 1
Maine (ME) $105 5
Alabama (AL) $159 3
North Dakota (ND) $172 1
New York (NY) $176 3
Georgia (GA) $190 9
Mississippi (MS) $225 6
Rhode Island (RI) $237 2
Minnesota (MN) $334 14
New Hampshire (NH) $341 1
Maryland (MD) $348 4
Oklahoma (OK) $369 4
Michigan (MI) $406 138
South Carolina (SC) $408 3
Idaho (ID) $408 4
Kentucky (KY) $471 3
Iowa (IA) $521 3
District of Columbia (DC) $621 1
North Carolina (NC) $639 21
Oregon (OR) $656 3
Ohio (OH) $721 8
Nevada (NV) $757 10
Delaware (DE) $763 1
Connecticut (CT) $830 10
Wisconsin (WI) $853 13
Tennessee (TN) $910 8
Nebraska (NE) $927 10
Indiana (IN) $1,028 14
Washington (WA) $1,121 4
Florida (FL) $1,123 49
Pennsylvania (PA) $1,278 3
Massachusetts (MA) $1,586 17
Kansas (KS) $1,803 6
South Dakota (SD) $1,823 1
Hawaii (HI) $2,206 10
Missouri (MO) $2,415 4
California (CA) $3,052 40
West Virginia (WV) $3,345 2
Texas (TX) $4,758 12
Arizona (AZ) $11,084 4

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.