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CPT 15274Medical Service

Skin Substitute Graft to Wound 100 0 Sq Cm or More of Trunk

Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less. Clinical pricing breakdown and utilization metrics across 46 practicing doctors nationwide.

$237.09
Peer Median Charge
Gross billed rate
$44.89
Standard Baseline
Customary allowable
5.3x
National Markup
Charge vs baseline
46
Active Physicians
Billing this code
Planning care or already received a bill for CPT 15274?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $237.09. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $44.89 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code 15274 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"