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CPT C5278

Low cost skin substitute app

Reported by 22 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

$1.3k

Average

$5.5k

Median

$7.3k

High

$7.4k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$4.5k$4.5k$4.5k$4.5k—
2Johnson Memorial HospitalStafford Springs, CT$768$6.6k$6.6k$6.6k$184
3Samaritan HospitalTroy, NY$920$2.9k$2.9k$5.8k—
4Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$1.5k$3.0k$3.4k$5.1k$1.5k
5Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$1.5k$2.0k$3.3k$5.1k$1.5k
6Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$1.5k$2.0k$3.3k$5.1k$1.5k
7Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$1.4k$1.9k$2.2k$4.1k$780
8Mary Hitchcock Memorial HospitalLebanon, NH$7.2k$7.2k$7.2k$7.2k—
9Baylor Scott & White Medical Center - TempleTemple, TX$13$7.4k$7.4k$7.4k—
10Baylor Scott & White Medical Center - TaylorTaylor, TX$17$7.4k$7.4k$7.4k—
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