A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to describe medical, surgical, and diagnostic services to health insurance companies. They are crucial for billing and for standardizing communication about medical procedures and services across the healthcare industry.

How can I find out the cost of a medical procedure or service?

To find out the cost of a specific medical procedure or service, you can often use a CPT code if you have one. For accurate, location-specific pricing information, you can use tools like Payerprice. Payerprice offers a fee schedule lookup tool where you can search with a CPT code and your specific location to get an estimate of what providers charge. It's also advisable to contact your insurance provider directly to understand your coverage and potential out-of-pocket costs based on your specific plan.

Why do medical costs vary so much?

Medical costs can vary significantly due to several factors, including the specific healthcare provider (e.g., hospital vs. independent clinic), geographic location, negotiated rates with different insurance companies, the complexity of the procedure, the technology used, and whether the provider is in-network or out-of-network for your insurance plan.

Does my insurance cover the full cost of a procedure?

Generally, insurance plans do not cover the full cost of a procedure. Most plans have deductibles, co-pays, and co-insurance that you are responsible for paying. The extent of coverage also depends on your specific plan benefits, whether the provider is in-network, and if the service is deemed medically necessary. Always check with your insurance provider directly to understand your specific coverage details for any planned service.

What should I do if I receive a surprisingly high medical bill?

If you receive a surprisingly high medical bill, first review it carefully for any errors or services you did not receive. Then, contact the provider's billing department to request an itemized bill and discuss potential discounts or payment plans. It's also advisable to contact your insurance company to understand how they processed the claim and what your responsibility is. For future services, using tools like Payerprice can help you research expected costs beforehand.

How can I compare prices for healthcare services in my area?

To compare prices for healthcare services in your area, you can utilize online tools that provide fee schedule lookup capabilities. Payerprice, for instance, offers a tool where you can input a CPT code and your specific location to see a range of prices for various medical services. Additionally, contacting different providers directly and discussing their self-pay rates or estimated charges can also help you compare costs. Always verify with your insurance provider about how different pricing might affect your out-of-pocket expenses.

CPT 15275 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Skin Sub Graft Face Nk Hf G, Application Of Skin Substitute Graft To Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits Total Wound Surface Area Up To 100 Sq Cm First 25 Sq Cm Or Less Wound Surface Area

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Integumentary System
Common Place of Service	11 - Office 22 - On Campus Outpatient Hospital
Common Modifiers	None RT - Right side of body LT - Left side of body
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 15275
Medicaid Fee Schedule	View Medicaid rates for 15275

National average reimbursement for CPT 15275 by major payers:

$193.51

$206.37

$206.23

$168.61

Compare published rates across providers.

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CPT 15275

5 of 25 sample ratesHigher to lower in this preview

The Emory Clinic Inc, The Emory Clinic Lagrange Surgery Center
Emory University
GAAmbulatory Surgical Clinic/CenterNPI 1285912600Tax ID 58-2030692
$3,022.00Published rate
Summit Ambulatory Surgical Center LLC
MDAmbulatory Surgical Clinic/CenterNPI 1114196151Tax ID 52-2148280
$1,528.00Published rate
The Urology Center, PC, Urology Center Asc
The Urology Center, P.C.
NEAmbulatory Surgical Clinic/CenterNPI 1912909144Tax ID 47-0593275
$960.00Published rate
Thomas Eye Surgery Center Of Fayette
GAAmbulatory Surgical Clinic/CenterNPI 1174233522Tax ID 88-1476592
$607.00Published rate
Richfield Surgery Center, LLC
UTAmbulatory Surgical Clinic/CenterNPI 1326512070Tax ID 82-5304896
$300.00Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 15275 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15275 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 15275 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
15275-CPT	Low	Skin Sub Graft Face Nk Hf G, Application Of Skin Substitute Graft To Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits Total Wound Surface Area Up To 100 Sq Cm First 25 Sq Cm Or Less Wound Surface Area
15276-CPT	Low	Skin Sub Graft F N Hf G Addl, Application Of Skin Substitute Graft To Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits Total Wound Surface Area Up To 100 Sq Cm Each Additional 25 Sq Cm Wound Surface Area Or Part Thereof List Separately In Addition To Code For Primary Procedure
15277-CPT	Moderate	Skn Sub Grft F N Hf G Child, Application Of Skin Substitute Graft To Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits Total Wound Surface Area Greater Than Or Equal To 100 Sq Cm First 100 Sq Cm Wound Surface Area Or 1 Of Body Area Of Infants And Children
15278-CPT	Low	Skn Sub Grft F N Hf G Ch Add, Application Of Skin Substitute Graft To Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits Total Wound Surface Area Greater Than Or Equal To 100 Sq Cm Each Additional 100 Sq Cm Wound Surface Area Or Part Thereof Or Each Additional 1 Of Body Area Of Infants And Children Or Part Thereof List Separately In Addition To Code For Primary Procedure

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15275. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15275 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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CPT 15275 Fee Schedule

Compare published rates across providers.

The Emory Clinic Inc, The Emory Clinic Lagrange Surgery Center

Summit Ambulatory Surgical Center LLC

The Urology Center, PC, Urology Center Asc

Thomas Eye Surgery Center Of Fayette

Richfield Surgery Center, LLC