CPT 15004

Skin Grafting

Current code46 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 15004 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$778 – $3,08220 plans$1,442$3,604
Cascade Medical CenterLeavenworth$541 – $1,3792 plansDoctor’s fee: $541 – $710$1,759Doctor’s fee: $906$2,199Doctor’s fee: $1,133
Coulee Medical CenterGrand Coulee—$1,338$1,487
Deaconess Medical CenterSpokaneFile dated 2026-08-27$659 – $2,59116 plans$710$1,774
Harborview Medical CenterSeattleFile dated 2026-04-01$753 – $1,0023 plans$1,345$1,921
Highline Medical CenterBurienFile dated 2026-02-28$1,132 – $5,92013 plans——
Island HospitalAnacortes$434 – $873at least 15 plans$656$656
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$440 – $10,0139 plans$2,655$3,793
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$906 – $7,56910 plans$250 – $714Doctor’s fee: $464 – $714$385 – $1,099Doctor’s fee: $714 – $1,099
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,088 – $4,5699 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$780 – $3,16117 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$780 – $3,16117 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$784 – $3,16112 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$659 – $2,58516 plans$710$1,774
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$519 – $4,74216 plans——
PeaceHealth Southwest Medical CenteVancouver$180 – $3,9436 plans$1,639 – $5,093$2,522 – $7,836
PeaceHealth St John Medical CenterLongview$193 – $2,7813 plans$3,734$5,744
PeaceHealth St Joseph Medical CenterBellingham$9311 plan$2,867$4,410
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$766 – $16,50813 plans$1,266$1,809
Providence Centralia HospitalCentraliaFile dated 2026-04-01$796 – $9,57510 plans$1,214$2,334
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$544 – $6,46214 plans$1,348$1,925
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,344$1,920
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$556 – $8,84614 plans$876$1,684
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,118$1,597
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$557 – $13,8099 plans$2,209$3,156
Providence St Peter HospitalOlympiaFile dated 2026-04-01$397 – $6,26011 plans$1,214$2,334
Seattle Children's HospitalSeattle$393 – $86958 plans$1,086 – $70,342$1,086
Skagit Valley HospitalMount Vernon$546 – $2,84411 plans$549$686
St Anthony HospitalGig HarborFile dated 2026-02-28$1,237 – $5,92016 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$1,237 – $5,92016 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$893 – $5,92010 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$1,237 – $5,92016 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$1,237 – $5,92016 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$1,427 – $2,7388 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$694 – $7,27716 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$708 – $10,40316 plans$796 – $1,608$1,658 – $3,350
Swedish Medical CenterSeattleFile dated 2026-04-01$706 – $7,27723 plans$796 – $1,608$1,658 – $3,350
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$706 – $7,27717 plans$796 – $1,608$1,658 – $3,350
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$784 – $2,88417 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$753 – $2,62811 plans$1,307$1,867
Virginia Mason Medical CenterSeattle$11.83 – $8,50010 plans$933$1,829
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,1971 plan——
WhidbeyHealth Medical CenterCoupeville—$915 – $2,998$915 – $2,998
Yakima Valley MemorialYakimaFile dated 2026-08-27$761 – $5,79314 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County)
$461 in an office; $246 in a hospital or surgery center
Doctor's fee, rest of Washington
$414 in an office; $229 in a hospital or surgery center
Hospital outpatient payment (national)
$415 (APC 5052)
Surgery center payment (national)
$223

How hospitals also write this code

Some price files write it differently. These are counted as CPT 15004:

  • 15004P (with a letter after it, P; 2 price lines)
  • 15004T (with a letter after it, T; 1 price line)