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 APL LO SKIN SUB GFT TR-AR-LG,TOT WND SA GR TH/EQ 100SQCM, 1ST 100SQCM
Low
$476
Average
$3.2k
Median
$2.8k
High
$9.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 4.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +20 other terms | 323 | $2.0k | $3.0k | $2.8k | 96% | — | $1 – $53.8k |
| 2 | Aetna fee schedule · outpatient · +21 other terms | 282 | $2.1k | $3.4k | $2.9k | 87% | — | $1 – $26.6k |
| 3 | Cigna case rate · outpatient · +18 other terms | 213 | $10.2k | $10.2k | $3.8k | 37% | — | $1 – $25.6k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 183 | $3.3k | $3.6k | $2.4k | 65% | — | $0 – $16.4k |
| 5 | Humana fee schedule · outpatient · +16 other terms | 156 | $1.8k | $1.9k | $769 | 41% | — | $1 – $8.3k |
| 6 | Oscar case rate · outpatient · +13 other terms | 127 | $3.7k | $3.2k | $1.4k | 44% | — | $1.4k – $7.5k |
| 7 | WellCare fee schedule · outpatient · +12 other terms | 94 | $1.8k | $2.1k | $820 | 40% | — | $870 – $4.5k |
| 8 | Anthem case rate · outpatient · +21 other terms | 86 | $4.9k | $5.3k | $2.4k | 46% | — | $1.2k – $16.2k |
| 9 | Healthcare Highways case rate · outpatient · +3 other terms | 69 | $2.4k | $2.8k | $593 | 21% | — | $2k – $4.3k |
| 10 | Molina fee schedule · outpatient · +14 other terms | 62 | $1.9k | $2.0k | $617 | 30% | — | $1 – $4.1k |
| 11 | MultiPlan fee schedule · outpatient · +13 other terms | 36 | $2.8k | $2.6k | $810 | 31% | — | $864 – $4.9k |
| 12 | Devoted fee schedule · outpatient · +6 other terms | 33 | $1.9k | $1.9k | $84 | 4% | — | $1.6k – $2.0k |
| 13 | Caresource fee schedule · outpatient · +9 other terms | 32 | $926 | $934 | $890 | 95% | — | $1 – $4.5k |
| 14 | Ambetter case rate · outpatient · +13 other terms | 30 | $2.8k | $2.8k | $437 | 15% | — | $2.1k – $3.3k |
| 15 | Tricare fee schedule · outpatient · +8 other terms | 30 | $1.9k | $7.8k | $15.7k | 202% | — | $1.5k – $50k |
| 16 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $1.4k | $1.9k | $653 | 35% | — | $915 – $3.2k |
| 17 | Clover fee schedule · outpatient · +4 other terms | 26 | $2.0k | $2.2k | $689 | 31% | — | $1.8k – $4.6k |
| 18 | Kaiser fee schedule · outpatient · +10 other terms | 26 | $2.0k | $3.9k | $3.2k | 80% | — | $1.8k – $13.6k |
| 19 | Bcbs Tx fee schedule · outpatient · +4 other terms | 25 | $2.4k | $2.3k | $693 | 30% | — | $1.3k – $5.6k |
| 20 | Bcbs La fee schedule · outpatient · +1 other terms | 23 | $5.3k | $5.2k | $1.9k | 36% | — | $1.1k – $8.3k |
| 21 | Optum facility · fee schedule · outpatient · +8 other terms | 22 | $1.7k | $1.8k | $130 | 7% | — | $1.6k – $2.2k |
| 22 | Highmark facility · fee schedule · outpatient · +10 other terms | 20 | $3.0k | $2.9k | $1.7k | 59% | — | $225 – $8.3k |
| 23 | Medica fee schedule · outpatient · +9 other terms | 18 | $1.5k | $1.6k | $428 | 27% | — | $631 – $2.1k |
| 24 | Medical Mutual fee schedule · outpatient · +7 other terms | 18 | $4.8k | $4.6k | $1.1k | 24% | — | $1.7k – $5.8k |
| 25 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 17 | $1.8k | $1.8k | $46 | 3% | — | $1.7k – $1.9k |
← Hospitals reporting HCPCS C5273 · Snapshot 20261111T120946Z-9134e7f7