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CPT 15260 · Surgery

Fth/gft fr n/e/e/l 20 sqcm/<

Full thickness skin graft procedures for small areas under 20 square centimeters range from $731 to $1,829 depending on facility type, making it essential to verify your billing codes before payment.

By Kevin Nyk , Medical Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.

Medicare + CMS benchmark data
Publicly available pricing
Updated 2026-04-03
Rate comparison — Fth/gft fr n/e/e/l 20 sqcm/<
Non-facility$99Medicare facility$731ASC rate$981Hospital outpatient$1.8K$1.7K difference between lowest and highest rate
$731
Medicare facility rate
$99
Non-facility rate
$981
ASC rate
$848
ASC vs hospital gap

This procedure involves surgically removing healthy skin from areas like the neck, eyelid, ear, or lip and transplanting it to repair wounds or defects covering 20 square centimeters or less. Patients typically need this after trauma, cancer removal, or severe burns where the full thickness of skin must be replaced. The Medicare benchmark for this procedure is $957, though charges can vary significantly between different healthcare facilities.

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The $848 gap between ASC and hospital outpatient for Fth/gft fr n/e/e/l 20 sqcm/< is one of the most common billing discrepancies we identify.
Compare by care setting
The same procedure costs different amounts depending on where you receive care.
$1,829
Hospital Outpatient rate for Fth/gft fr n/e/e/l 20 sqcm/<
Medicare facility benchmark: $731
Regional rate comparison — Fth/gft fr n/e/e/l 20 sqcm/<
Top 5 lowest and highest localities by Medicare facility rate
National avg $731REST OF ILLINOIS, IL$844DETROIT, MI$889QUEENS, NY$899MIAMI, FL$1,112CHICAGO, IL$1,050NYC SUBURBS/LONG ISLAND, NY$1,002

Facility rate

$731

National Medicare benchmark

Non-facility rate

$99

Office setting benchmark

Data sources

4

24 data points

Key insights for CPT 15260

ASC vs hospital outpatient savings

$848

Having this done at an ambulatory surgery center costs $981 vs $1,829 at a hospital outpatient

Facility vs office setting

$632 difference

Non-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.

SettingMedicare ratevs lowest
Facility (physician office)$731+638%
Non-facility (office)$99Lowest
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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

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

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