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
$0
Average
$2.5k
Median
$2.7k
High
$4.4k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
129 hospitals; the 90th percentile is 4.4× 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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147 hospital rates
iThe hospitals that file a Ambetter 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 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 2 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 3 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 4 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 5 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 6 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 7 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 8 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 9 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 10 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 11 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 12 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 13 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 14 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $385 | $385 | — | — | — | $385 – $385 |
| 15 | Baptist Medical Center of Nassau, INC Yulee, FL facility · fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 16 | Baptist Medical Center of the Beaches, INC Beach, FL facility · fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 17 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 2 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 18 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 19 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 20 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 2 | $4.4k | $4.4k | $275 | 6% | — | $4.1k – $4.7k |
| 21 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 22 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 23 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 25 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
← Payers reporting HCPCS C5273 · Snapshot 20261111T120946Z-9134e7f7