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
APP LC SKIN SUB FACE HANDS FT>=100 SQCM 1ST100
Low
$226
Average
$5.1k
Median
$593
High
$50k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
56 hospitals; the 90th percentile is 4.0× 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.
Filter by billing methodology
Filter by billing class
57 hospital rates
iThe hospitals that file a Tricare 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $556 | $556 | — | — | — | $556 – $556 |
| 2 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $591 | $591 | — | — | — | $591 – $591 |
| 3 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 4 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $574 | $574 | — | — | — | $574 – $574 |
| 5 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $603 | $603 | — | — | — | $603 – $603 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $589 | $589 | — | — | — | $589 – $589 |
| 7 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $957 | $957 | $67 | 7% | — | $890 – $1.0k |
| 8 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $589 | $589 | — | — | — | $589 – $589 |
| 9 | Dallas Regional Medical Center Mesquite, TX fee schedule · outpatient | 1 | $599 | $599 | — | — | — | $599 – $599 |
| 10 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $563 | $563 | — | — | — | $563 – $563 |
| 12 | East Liverpool City Hospital Liverpool, OH fee schedule · outpatient | 1 | $564 | $564 | — | — | — | $564 – $564 |
| 13 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $856 | $856 | — | — | — | $856 – $856 |
| 14 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $803 | $803 | — | — | — | $803 – $803 |
| 15 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $538 | $538 | — | — | — | $538 – $538 |
| 16 | Garden City Hospital City, MI fee schedule · outpatient | 1 | $594 | $594 | — | — | — | $594 – $594 |
| 17 | Garden Grove Hospital Medical Center Grove, CA fee schedule · outpatient | 1 | $767 | $767 | — | — | — | $767 – $767 |
| 18 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 5 | $598 | $598 | — | — | — | $598 – $598 |
| 19 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient | 1 | $377 | $377 | $157 | 42% | — | $220 – $534 |
| 20 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA other · outpatient | 1 | $534 | $534 | — | — | — | $534 – $534 |
| 21 | Huntington Beach Hospital Beach, CA fee schedule · outpatient | 2 | $767 | $767 | — | — | — | $767 – $767 |
| 22 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $587 | $587 | — | — | — | $587 – $587 |
| 23 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $587 | $587 | — | — | — | $587 – $587 |
| 24 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $557 | $557 | — | — | — | $557 – $557 |
| 25 | La Palma Intercommunity Hospital Palma, CA fee schedule · outpatient | 2 | $767 | $767 | — | — | — | $767 – $767 |
← Payers reporting HCPCS C5277 · Snapshot 20261111T120946Z-9134e7f7