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
$1.2k
Average
$6.0k
Median
$4.5k
High
$14.8k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 10.9× 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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10 hospital rates
iThe hospitals that file a Carefirst 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 | Johnson Memorial Hospital Stafford Springs, CT facility · case rate · both | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 2 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 3 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 4 | Saint Marys Hospital Waterbury, CT facility · other · both | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 5 | Samaritan Hospital Troy, NY facility · other · both | 2 | $4.8k | $4.5k | $413 | 9% | — | $3.8k – $4.8k |
| 6 | St Peters Hospital Albany, NY facility · other · outpatient | 2 | $3.6k | $3.4k | $312 | 9% | — | $2.9k – $3.6k |
| 7 | UPMC Hanover Hanover, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 8 | UPMC Hanover Hanover, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 9 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
← Payers reporting HCPCS C5273 · Snapshot 20261111T120946Z-9134e7f7