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
Idaho
Hospital Address Code Price Last Updated
Caribou Memorial Hospital 300 S 3Rd W, Soda Springs 15276 $35 [source] 3 years ago
Shoshone Medical Center 25 Jacobs Gulch Rd, Kellogg 15276 $49 [source] 3 years ago
Bonner General Hospital 520 N 3Rd Ave, Sandpoint 15276 $114 [source] 3 years ago
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene 15276 $1,435 [source] 3 years ago
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.