HCPCS C5273
Application of low cost skin substitute graft to trunk, arms, legs, 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
Retired code28 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) |
|---|---|---|---|
| Capital Medical Center | $3,233 – $10,061 | — | — |
| Deaconess Medical Center | $3,138 – $7,697 | — | — |
| EvergreenHealth Medical Center | $2,271 – $10,305 | $8,865 | $11,081 |
| Island Hospital | $1,120 | — | — |
| Kadlec Regional Medical Center | $4,949 – $30,045 | $4,762 | $6,803 |
| Legacy Salmon Creek Medical Center | $4,574 – $19,898 | — | — |
| Mary Bridge Children's Hospital | $3,233 – $13,574 | — | — |
| MultiCare Auburn Medical Center | $3,233 – $10,321 | — | — |
| MultiCare Covington Medical Center | $3,233 – $10,321 | — | — |
| MultiCare Good Samaritan Hospital | $3,233 – $10,321 | — | — |
| MultiCare Valley Hospital | $3,051 – $7,680 | — | — |
| Overlake Hospital Medical Center & Clinics | $4,121 – $15,481 | — | — |
| PeaceHealth Southwest Medical Cente | $1,829 – $3,943 | $11,775 | $18,116 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $3,663 – $24,207 | $4,086 | $5,837 |
| Providence Centralia Hospital | $6,349 – $13,371 | — | — |
| Providence Holy Family Hospital | $4,047 – $13,312 | $4,282 | $6,117 |
| Providence Regional Medical Center Everett | $3,833 – $24,031 | — | — |
| Providence St Joseph Hospital | — | $2,582 | $3,689 |
| Providence St Mary Medical Center | $1,616 – $13,809 | $4,841 | $6,916 |
| Providence St Peter Hospital | $6,260 – $15,536 | — | — |
| Swedish Edmonds Hospital | $2,225 – $8,114 | — | — |
| Swedish Issaquah | $4,033 – $10,403 | $2,753 – $5,048 | $5,736 – $10,516 |
| Swedish Medical Center | $4,857 – $8,114 | $2,753 – $5,048 | $5,736 – $10,516 |
| Swedish Medical Center / Cherry Hill | $4,857 – $7,465 | $2,753 – $5,048 | $5,736 – $10,516 |
| Tacoma General Allenmore Hospital | $3,233 – $8,534 | — | — |
| University of Washington Medical Ctr | $5,591 – $7,631 | — | — |
| Virginia Mason Medical Center | $3,366 – $8,500 | $2,861 | $5,610 |
| Yakima Valley Memorial | $2,970 – $6,857 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.