HCPCS C5277

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 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 code27 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 C5277 by hospital
Hospital	Unknown rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	$5,6851 plan	$5,054	$6,317
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$1,632	$2,331
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	—	$1,658	$2,369
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	—	$887	$1,740

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.