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HCPCS C5278

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; 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)

Retired code17 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.

HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
EvergreenHealth Medical CenterKirkland$2,2361 plan$1,987$2,484
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,004$1,434
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$2,201$3,144
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$2,307$3,295
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$2,459$3,513
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$1,021$1,458
Swedish IssaquahIssaquahFile dated 2026-04-01—$277$578
Swedish Medical CenterSeattleFile dated 2026-04-01—$277$578
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$277$578
Virginia Mason Medical CenterSeattle—$713$1,399

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.