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CPT C5273

Low cost skin substitute app

Reported by 7 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$2.0k

Average

$6.8k

Median

$6.8k

High

$11.0k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$1.4k$8.5k$8.5k$8.5k—
2Mercy Fitzgerald HospitalDarby, PA$129$2.0k$2.0k$3.8k—
3Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$1.8k$6.5k$6.8k$10.7k$2.5k
4St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$1.8k$11.3k$11.0k$11.3k$572
5Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$1.8k$6.5k$6.7k$10.7k$2.5k
6Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$1.8k$6.5k$6.8k$10.7k$2.6k
7Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$1.8k$5.5k$5.7k$8.4k$1.6k

Look up this code directly

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