CPT 15004
Skin Grafting
Current code46 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $461 – $507 | $1,442 | $3,604 |
| Cascade Medical Center | $1,228 – $1,838 | $1,759 | $2,199 |
| Coulee Medical Center | — | $1,338 | $1,487 |
| Deaconess Medical Center | $444 – $488 | $710 | $1,774 |
| Harborview Medical Center | $471 – $518 | $1,345 | $1,921 |
| Highline Medical Center | $681 – $784 | — | — |
| Island Hospital | $485 – $514 | $656 | $656 |
| Kadlec Regional Medical Center | $453 – $544 | $2,655 | $3,793 |
| Legacy Salmon Creek Medical Center | $467 – $507 | $250 – $714 | $385 – $1,099 |
| Mary Bridge Children's Hospital | $465 – $511 | — | — |
| MultiCare Auburn Medical Center | $463 – $509 | — | — |
| MultiCare Covington Medical Center | $463 – $509 | — | — |
| MultiCare Good Samaritan Hospital | $465 – $511 | — | — |
| MultiCare Valley Hospital | $457 – $488 | $710 | $1,774 |
| Olympic Medical Center | $509 – $655 | — | — |
| Overlake Hospital Medical Center & Clinics | $472 – $491 | — | — |
| PeaceHealth Southwest Medical Cente | $451 – $518 | $1,639 – $5,093 | $2,522 – $7,836 |
| PeaceHealth St John Medical Center | $377 – $532 | $3,734 | $5,744 |
| PeaceHealth St Joseph Medical Center | $483 – $531 | $2,867 | $4,410 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $453 – $544 | $1,266 | $1,809 |
| Providence Centralia Hospital | $471 – $753 | $1,214 | $2,334 |
| Providence Holy Family Hospital | $453 – $498 | $1,348 | $1,925 |
| Providence Mount Carmel Hospital | — | $1,344 | $1,920 |
| Providence Regional Medical Center Everett | $463 – $509 | $876 | $1,684 |
| Providence St Joseph Hospital | — | $1,118 | $1,597 |
| Providence St Mary Medical Center | $453 – $498 | $2,209 | $3,156 |
| Providence St Peter Hospital | $468 – $748 | $1,214 | $2,334 |
| Seattle Children's Hospital | — | $1,086 – $70,342 | $1,086 |
| Skagit Valley Hospital | $612 – $643 | $549 | $686 |
| St Anthony Hospital | $694 – $798 | — | — |
| St Clare Hospital | $694 – $798 | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | $681 – $784 | — | — |
| St Joseph Medical Center | $694 – $798 | — | — |
| St Michael Medical Center | $713 – $770 | — | — |
| Swedish Edmonds Hospital | $463 – $556 | — | — |
| Swedish Issaquah | $472 – $566 | $796 – $1,608 | $1,658 – $3,350 |
| Swedish Medical Center | $471 – $565 | $796 – $1,608 | $1,658 – $3,350 |
| Swedish Medical Center / Cherry Hill | $471 – $565 | $796 – $1,608 | $1,658 – $3,350 |
| Tacoma General Allenmore Hospital | $465 – $511 | — | — |
| University of Washington Medical Ctr | $471 – $518 | $1,307 | $1,867 |
| Virginia Mason Medical Center | $132 – $2,626 | $933 | $1,829 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $915 – $2,998 | $915 – $2,998 |
| Yakima Valley Memorial | $475 – $533 | — | — |
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)