Code: 15276

Description:
HC SUB GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM
Other Descriptions:
HC SUB GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM
LC APPSKN HD/HF/G EA 25SQCM
APP SKIN HD/F/H/G EA 25SQCM
AP GF EX WOTAL<100CM EAAD25
HC APLY GFT NON TAL <100CM ADD 25
AP SK SUB F/N/G/HF ADD 25 SQCM WND<100SQ
APPLICATION APLIGRAF ADDIT 25CM
APPLICATION APLIGRAF ADDIT 25 SQ CM
HIGH COST SUB GRFT F/S/N/H/F/G/M/D<100SQ CM EA ADDL25SQ CM
Related codes:
Code: 15271
APP GRFT T/A/L 100SQCM<
Code: 15272
APP GRFT T/A/L25SQCM ADD
Code: 15273
APP GRFT T/A/L >100SQCM
Code: 15274
APP GRFT T/A/L100SQCMADD
Code: 15275
APP GRFT F/N/H 100SQCM<
Code: 15277
APP GRFT F/N/H >100SQCM
Code: 15278
APP GRFT F/N/H100SQCMADD
Nebraska
Hospital Address Code Price Last Updated
Chi Health Schuyler 1721 Colfax St, Schuyler 15276 $69 [source] 3 years ago
Chi Health Plainview 704 N 3Rd St, Plainview 15276 $69 [source] 3 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island 15276 $251 [source] 3 years ago
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln 15276 $876 [source] 3 years ago
Chi Health Nebraska Heart 7500 So. 91St St., Lincoln 15276 $876 [source] 3 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney 15276 $1,426 [source] 3 years ago
Chi Health Lakeside 17201 Wright St, Omaha 15276 $1,426 [source] 3 years ago
Chi Health Midlands 11111 S 84Th St, Papillion 15276 $1,426 [source] 3 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha 15276 $1,426 [source] 3 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha 15276 $1,426 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.