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 code29 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) |
|---|---|---|---|
| EvergreenHealth Medical Center | $2,271 – $10,305 | $8,865 | $11,081 |
| Kadlec Regional Medical Center | — | $4,762 | $6,803 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $4,086 | $5,837 |
| Providence Holy Family Hospital | — | $4,282 | $6,117 |
| Providence St Joseph Hospital | — | $2,582 | $3,689 |
| Providence St Mary Medical Center | — | $4,841 | $6,916 |
| Swedish Issaquah | — | $5,048 | $10,516 |
| Swedish Medical Center | — | $5,048 | $10,516 |
| Swedish Medical Center / Cherry Hill | — | $5,048 | $10,516 |
| Virginia Mason Medical Center | $3,593 – $4,488 | $2,861 | $5,610 |
Medicare (traditional) reference
CMS publishes no national amount for this code.