What does code 15121 cost?

Across the published hospital price files, the disclosed cash price for 15121 ranges from $4,418 to $4,418. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

15121 is the billing code hospitals use to identify "Skn splt a-grft f/n/hf/g add" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

15121

HCPCS

Skn splt a-grft f/n/hf/g add

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 15121 (Skn splt a-grft f/n/hf/g add) appears at 29 hospitals with disclosed cash prices from $4,418 to $4,418. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 15121 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Hospitals

Prices shown

$4,418

Lowest cash

$4,418

Highest cash

code 15121 cash price21 disclosed · 21 hospitals

$4,418median ~$4,418$4,418

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$4,418 – $4,418

Antioch · 1 hospital$4,418
Fremont · 1 hospital$4,418
Fresno · 1 hospital$4,418
Oakland · 1 hospital$4,418
Redwood City · 1 hospital$4,418
Richmond · 1 hospital$4,418

33 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Skn splt a-grft f/n/hf/g add Outpatient	Endeavor Health Edward Hospital	15121 HCPCS	—	—	$319 – $415	—
Pr Splt Agrft F/S/N/H/F/G/M/Dgt Ea 100 Sqcm/Ea 1%-Pbb Inpatient & outpatient	University of Chicago Medical Center	15121 HCPCS	—	—	—	—
Hc Splt-Thck Autgrft,Fce,Sclp,Eylds,Mth,Nck,Au,Orbts,Gen,H&S,Ft,Mlt Dgts;Ea 100 Sq Cm/Ea Add1%Chld Inpatient & outpatient	University of Chicago Medical Center	15121 HCPCS	—	—	—	—
Hc Splt-Thck Autgrft,Fce,Sclp,Eylds,Mth,Nck,Au,Orbts,Gen,H&S,Ft,Mlt Dgts;Ea 100 Sq Cm/Ea Add1%Chld-P Inpatient & outpatient	University of Chicago Medical Center	15121 HCPCS	—	—	—	—
Skn splt a-grft f/n/hf/g add Outpatient	University of Chicago Medical Center	15121 HCPCS	—	—	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Antioch Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Fremont Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Fresno Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Oakland Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Redwood City Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Richmond Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Roseville Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Sacramento Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	San Francisco Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	San Jose Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	San Leandro Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	San Rafael Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Santa Clara Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Santa Rosa Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	South Sacramento Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	South San Francisco Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Stockton Medical Center - Manteca	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Stockton Medical Center - Modesto	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Vacaville Medical Center	15121 CPT	$7,890	$4,418	—	—
SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % Inpatient & outpatient	Vallejo Medical Center	15121 CPT	$7,890	$4,418	—	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 15121 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Antioch Medical Center Fremont Medical Center Fresno Medical Center Oakland Medical Center Redwood City Medical Center Richmond Medical Center Roseville Medical Center Sacramento Medical Center San Francisco Medical Center San Jose Medical Center San Leandro Medical Center San Rafael Medical Center Santa Clara Medical Center Santa Rosa Medical Center South Sacramento Medical Center South San Francisco Medical Center Stockton Medical Center - Manteca Stockton Medical Center - Modesto Vacaville Medical Center Vallejo Medical Center Walnut Creek Medical Center Jefferson Bucks Hospital Jefferson Cherry Hill Hospital Jefferson Frankford Hospital Jefferson Lansdale Hospital Atrium Health Mercy Atrium Health Union

Code 15121: frequently asked

What does code 15121 cost?: Across the published hospital price files, the disclosed cash price for 15121 ranges from $4,418 to $4,418. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 15121?: 15121 is the billing code hospitals use to identify "Skn splt a-grft f/n/hf/g add" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code 15121 by state

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