Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) Age Under 21 (CPT 15769)
15769 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
9 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Spanish Peaks Regional Health Center | Walsenburg, CO | $702.90 | $781 | $3,738.22 | 0.2× |
| Memorial Hospital of Carbon County | Rawlins, WY | $903 | $1,204 | $3,620.48 | 0.2× |
| Montrose Regional Health | Montrose, CO | $1,206.75 | $1,609 | $3,738.22 | 0.3× |
| St. John's Medical Center | Jackson, WY | $1,210 | $1,210 | $3,620.48 | 0.3× |
| Sheridan Memorial Hospital | Sheridan, WY | $2,231.60 | $2,789.50 | $3,620.48 | 0.6× |
| Foothills Hospital | Boulder, CO | $2,517.75 | $5,035.50 | $3,779.71 | 0.7× |
| Animas Surgical Hospital | Durango, CO | $8,861 | $8,861 | $3,738.22 | 2.4× |
| Community Hospital Grand Junction | Grand Junction, CO | $9,056.32 | $16,172 | $3,738.22 | 2.4× |
| Parkland Memorial Hospital | Dallas, TX | $13,190.04 | $32,975.10 | $3,559.87 | 3.7× |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.