HCPCS C5276

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; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)

Retired code19 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

Unknown: The source file doesn't say which population this rate applies to.

Prices for HCPCS C5276 by hospital
Hospital	Unknown rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	$4381 plan	$390	$487
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$942	$1,345
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$2,885	$4,122
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$3,024	$4,320
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$744	$1,063
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$957	$1,367
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$239	$497
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$239	$497
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$239	$497
Virginia Mason Medical CenterSeattle	—	$731	$1,434

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.