Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC APPLY SKIN SUB > 100 SQ CM, EA ADDTNL 25CM LOW COST
Low
$150
Average
$16.9k
Median
$3.2k
High
$50k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 157.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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33 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 2 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 3 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 4 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 5 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 6 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 7 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $245 | $245 | $17 | 7% | — | $227 – $262 |
| 8 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 9 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 11 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $276 | $276 | — | — | — | $276 – $276 |
| 12 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $801 | $801 | — | — | — | $801 – $801 |
| 13 | Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 14 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 15 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $445 | $445 | — | — | — | $445 – $445 |
| 16 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 17 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 18 | Newton Medical Center Newton, NJ other · outpatient | 2 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 19 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 20 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 21 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 22 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 23 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 24 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 25 | Overlook Medical Center Summit, NJ other · outpatient | 2 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
← Payers reporting HCPCS C5272 · Snapshot 20261111T120946Z-9134e7f7