HCPCS C5274 at Kittitas Valley Community Hospital

Application of low cost skin substitute graft to trunk, arms, legs, 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)

Kittitas Valley Community Hospital, Ellensburg

Description from CMS's HCPCS Level II code file.

What Kittitas Valley Community Hospital publishes for this code: as an outpatient

Kittitas Valley Community Hospital’s prices for HCPCS C5274, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$3061 plan	—
Medicare AdvantageInsurer rates	$1301 plan	—
UnknownInsurer rates	$288 – $3426 plans	—
Cash pricePaying yourself, without insurance	$306	—
List priceBefore any discount; few people pay it	$360	—

Lowest and highest amounts Kittitas Valley Community Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-10-07. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS C5274 at Kittitas Valley Community Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS C5274 at every Washington hospital, with Medicare’s reference amounts.