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CPT C5277

Low cost skin substitute app

Reported by 9 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

$2.5k

Average

$5.5k

Median

$3.8k

High

$9.9k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$467$8.5k$8.5k$8.5k—
2Johnson Memorial HospitalStafford Springs, CT$1.4k$6.6k$6.6k$6.6k$184
3Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$428$8.8k$9.9k$15.5k$3.4k
4Samaritan HospitalTroy, NY$419$2.9k$2.9k$9.0k—
5Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$609$3.6k$3.8k$6.5k$1.8k
6St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$615$8.0k$7.8k$8.0k$369
7Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$609$3.6k$3.7k$6.5k$1.8k
8Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$609$3.6k$3.7k$6.5k$1.8k
9Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$615$1.9k$2.5k$4.7k$1.1k

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