HCPCS C5275

Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

Retired code31 hospitals with prices

Description from CMS's HCPCS Level II code file.

This code is retired. Some hospitals still list it.

What Washington hospitals publish for this code

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Prices for HCPCS C5275 by hospital
Hospital	Other government program rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Valley HospitalArlington	—	$1,033	$1,291
EvergreenHealth Medical CenterKirkland	$5861 plan	$1,319	$1,649
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$1,585	$2,264
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$1,376	$1,965
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$1,442	$2,060
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$869	$1,241
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$1,611	$2,301
Skagit Valley HospitalMount Vernon	—	$1,033	$1,291
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$1,623	$3,381
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$1,623	$3,381
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$1,623	$3,381
Virginia Mason Medical CenterSeattle	—	$916	$1,796

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.