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
Wisconsin
Hospital Address Code Price Last Updated
Ascension Calumet Hospital 614 Memorial Dr, Chilton 15276 $76 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 15276 $108 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 15276 $115 [source] 3 years ago
River Falls Area Hospital , River Falls 15276 $157 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 15276 $949 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 15276 $1,265 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 15276 $1,265 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 15276 $1,265 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 15276 $1,265 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids 15276 $1,505 [source] 3 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, 15276 $1,505 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau 15276 $1,505 [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.