HCPCS C5272
Application of low cost skin substitute graft to trunk, arms, legs, 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)
Retired code20 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Cascade Valley Hospital | $29.07 – $4,212 | $274 | $342 |
| EvergreenHealth Medical Center | $107 – $567 | $488 | $610 |
| Kadlec Regional Medical Center | — | $578 | $825 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $4,182 | $5,974 |
| Providence Holy Family Hospital | — | $4,383 | $6,262 |
| Providence St Joseph Hospital | — | $215 | $307 |
| Providence St Mary Medical Center | — | $587 | $838 |
| Swedish Issaquah | — | $200 | $416 |
| Swedish Medical Center | — | $200 | $416 |
| Swedish Medical Center / Cherry Hill | — | $200 | $416 |
| Virginia Mason Medical Center | $967 – $1,207 | $770 | $1,509 |
Medicare (traditional) reference
CMS publishes no national amount for this code.