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
$809
Average
$949
Median
$959
High
$1.1k
Filter by billing methodology
Filter by billing class
3 hospital rates
iThe hospitals that file a Bcbs Ks 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 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $959 | $959 | — | — | — | $959 – $959 |
| 2 | COMMONSPIRIT KANSAS, INC. Ulysses, KS fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | West Central Kansas Association Inc. Russell, KS facility · fee schedule · outpatient | 1 | $809 | $809 | — | — | — | $809 – $809 |
← Payers reporting HCPCS C5273 · Snapshot 20261111T120946Z-9134e7f7