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
$0
Average
$729
Median
$620
High
$4.3k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
217 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.
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224 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $584 | $584 | — | — | — | $584 – $584 |
| 2 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $604 | $604 | — | — | — | $604 – $604 |
| 3 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $624 | $624 | — | — | — | $624 – $624 |
| 4 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 5 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $170 | $170 | — | — | — | $170 – $170 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 7 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $653 | $653 | — | — | — | $653 – $653 |
| 9 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $635 | $635 | — | — | — | $635 – $635 |
| 10 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $635 | $635 | — | — | — | $635 – $635 |
| 11 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $860 | $860 | — | — | — | $860 – $860 |
| 12 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $860 | $860 | — | — | — | $860 – $860 |
| 13 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $563 | $563 | — | — | — | $563 – $563 |
| 14 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $592 | $592 | — | — | — | $592 – $592 |
| 15 | CHI MEMORIAL HOSPITAL - GEORGIA Ringgold, GA fee schedule · outpatient | 1 | $410 | $410 | — | — | — | $410 – $410 |
| 16 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $613 | $613 | — | — | — | $613 – $613 |
| 17 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $613 | $613 | — | — | — | $613 – $613 |
| 18 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 1 | $319 | $319 | — | — | — | $319 – $319 |
| 19 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 20 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 21 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 22 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 23 | Cheshire Medical Center Keene, NH facility · fee schedule · outpatient | 1 | $640 | $640 | — | — | — | $640 – $640 |
| 24 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $613 | $613 | — | — | — | $613 – $613 |
| 25 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $613 | $613 | — | — | — | $613 – $613 |
← Payers reporting HCPCS C5277 · Snapshot 20261111T120946Z-9134e7f7