CPT 15130 Surgery - Integumentary

How Much Does Drm Agrft T/a/l Initial 100 Sq Cm Cost?

Also known as: Drm agrft t/a/l 1st 100 sqcm (CPT 15130)

A full-thickness skin graft on the trunk, arms, or legs, taking all layers of skin from a donor site.

The total estimated cost of Drm Agrft T/a/l Initial 100 Sq Cm (CPT 15130) is $1,387 to $2,255, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $550.

Total Estimated Cost of Care

$1,387 — $2,255

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$550
Hospital Facility Fee
$1,101
Anesthesia (est.)
$83
Important: The physician fee of $550 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$550
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$771
Non-facility setting

Patient Guide: Drm Agrft T/a/l Initial 100 Sq Cm

What you need to know before your appointment

What to Expect

Under anesthesia, the surgeon removes a full-thickness piece of skin from a donor site and sutures it over the wound. The donor site is closed with stitches.

How Long Does It Take?

1-2 hours

Common Reasons Doctors Order This

Smaller wounds requiring durable coverage, wound on weight-bearing area, areas needing better cosmetic result than split-thickness graft

How to Prepare

Fast before surgery. Full-thickness grafts have a more limited donor site. Follow post-operative instructions carefully.

Procedures Commonly Done Together

These procedures are frequently performed alongside Drm agrft t/a/l 1st 100 sqcm

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How to Reduce Your Cost for Drm agrft t/a/l 1st 100 sqcm

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($771) differs from the facility rate ($550). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

7.34
Work RVU
7.79
Practice Expense RVU
1.35
Malpractice RVU
23.09
Total RVU

Payment = Total RVU (23.09) x CF ($33.40) = $771

Frequently Asked Questions

How much does Drm agrft t/a/l 1st 100 sqcm cost?

The Medicare facility rate for Drm agrft t/a/l 1st 100 sqcm is $550. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Drm agrft t/a/l 1st 100 sqcm cost without insurance?

Without insurance, the cost of Drm agrft t/a/l 1st 100 sqcm can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Drm agrft t/a/l 1st 100 sqcm?

Most commercial health insurance plans and Medicare cover Drm agrft t/a/l 1st 100 sqcm when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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