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CPT C5275

Low cost skin substitute app

Reported by 40 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$486

Average

$1.4k

Median

$604

High

$4.5k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$467$693$1.2k$8.5k$689
2St Joseph Mercy Ann ArborYpsilanti, MI$306$495$566$2.4k$325
3St Mary Mercy LivoniaLivonia, MI$306$528$603$2.4k$329
4St Joseph Mercy OaklandPontiac, MI$306$463$532$2.4k$304
5Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$234$2.6k$1.8k$15.5k$1.1k
6Mercy Health Services-Iowa Corp.Mason City, IA$75$484$486$1.7k$65
7St. Francis Hospital IncWilmington, DE$2.2k$3.9k$3.9k$5.9k$344
8St Mary Medical CenterLanghorne, PA$337$2.6k$2.8k$5.9k$517
9Nazareth HospitalPhiladelphia, PA$471$2.9k$2.9k$4.9k$307
10Mercy Fitzgerald HospitalDarby, PA$800$3.5k$3.6k$5.4k$256
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