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
Low cost skin substitute app
Low
$0
Average
$966
Median
$691
High
$4.9k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
55 hospitals; the 90th percentile is 75.8× 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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56 hospital rates
iThe hospitals that file a WellCare 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 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $653 | $653 | — | — | — | $653 – $653 |
| 3 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $635 | $635 | — | — | — | $635 – $635 |
| 4 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $635 | $635 | — | — | — | $635 – $635 |
| 5 | CHI MEMORIAL HOSPITAL - GEORGIA Ringgold, GA fee schedule · outpatient | 1 | $691 | $691 | — | — | — | $691 – $691 |
| 6 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 7 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 8 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $228 | $228 | — | — | — | $228 – $228 |
| 9 | East Carolina Health Ahoskie, NC percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | East Carolina Health-Bertie Windsor, NC percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | East Carolina Health-Chowan, Inc. Edenton, NC percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 3 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 13 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 14 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $370 | $370 | — | — | — | $370 – $370 |
| 17 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $388 | $388 | — | — | — | $388 – $388 |
| 18 | MaineHealth Belfast, ME percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 19 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $448 | $448 | — | — | — | $448 – $448 |
| 20 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 2 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 21 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 2 | $1.6k | $1.6k | $8 | 0% | — | $1.6k – $1.6k |
| 22 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 23 | Newton Medical Center Newton, NJ other · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 24 | Overlook Medical Center Summit, NJ other · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 25 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $1.9k | $1.5k | $616 | 42% | — | $582 – $1.9k |
← Payers reporting HCPCS C5274 · Snapshot 20261111T120946Z-9134e7f7