Splt agrft t/a/l 1st 100sqcm
Split skin graft procedures for the trunk, arm, or leg show facility rates ranging from $664 to $1,829 depending on care setting, making bill verification essential.
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
A split skin graft involves removing healthy skin from one area of the body and transplanting it to cover wounds or burns on the trunk, arm, or leg up to 100 square centimeters. Patients with severe burns, traumatic injuries, or surgical wounds that cannot heal naturally typically require this procedure. Code 15100 has a Medicare benchmark of approximately $1,200, with facility charges potentially ranging 8-12x this amount depending on the hospital setting.
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Facility rate
$664
National Medicare benchmark
Non-facility rate
$99
Office setting benchmark
Data sources
4
24 data points
Key insights for CPT 15100
ASC vs hospital outpatient savings
$848Having this done at an ambulatory surgery center costs $981 vs $1,829 at a hospital outpatient
Facility vs office setting
$565 differenceNon-facility setting is less expensive for this procedure
What this procedure costs across different settings
The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.
| Setting | Medicare rate | vs lowest |
|---|---|---|
| Facility (physician office) | $664 | +570% |
| Non-facility (office) | $99 | Lowest |
| Outpatient (APC) | $1,829 | +1748% |
| Ambulatory surgery (ASC) | $981 | +891% |
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About this data
Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).
This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.
Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.
Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use