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
$131
Average
$1.8k
Median
$1.8k
High
$4.1k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
63 hospitals; the 90th percentile is 1.3× 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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65 hospital rates
iThe hospitals that file a Devoted 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 | Alton Memorial Hospital Alton, IL other · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 2 | Banner Baywood Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | Banner Boswell Medical Center Sun City, AZ facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | Banner Casa Grande Medical Center Casa Grande, AZ facility · fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 5 | Banner North Colorado Medical Center Greeley, CO facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Banner University Medical Center Phoenix Phoenix, AZ facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 7 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $698 | $698 | — | — | — | $698 – $698 |
| 8 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $678 | $678 | — | — | — | $678 – $678 |
| 9 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $678 | $678 | — | — | — | $678 – $678 |
| 10 | Baptist Memorial Hospital-Booneville Booneville, MS facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | Baptist Memorial Hospital-Collierville Collierville, TN facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | Baptist Memorial Hospital-DeSoto Southaven, MS facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Baptist Memorial Hospital-Memphis Memphis, TN facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | Baptist Memorial Hospital-NEA Jonesboro, AR facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Baptist Memorial Hospital-North Mississippi Oxford, MS facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | Baptist Memorial Hospital-Union County New Albany, MS facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | Baptist Memorial Hospital-Women's Memphis, TN facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Barnes Jewish Hospital St. Louis, MO other · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 21 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 23 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 24 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 25 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
← Payers reporting HCPCS C5273 · Snapshot 20261111T120946Z-9134e7f7