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 ADD100
Low
$0
Average
$773
Median
$556
High
$2.0k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 14.6× 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
50 hospital rates
iThe hospitals that file a Ambetter 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 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $330 | $330 | — | — | — | $330 – $330 |
| 2 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $586 | $586 | — | — | — | $586 – $586 |
| 3 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $586 | $586 | — | — | — | $586 – $586 |
| 4 | CLAIBORNE MEDICAL CENTER Tazewell, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 6 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · inpatientfrom % of charges | 1 | $526 | $526 | — | — | — | $526 – $526 |
| 7 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $452 | $452 | — | — | — | $452 – $452 |
| 8 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 9 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 10 | Hardin County General Hospital Savannah, TN facility · fee schedule · both | 1 | $622 | $622 | — | — | — | $622 – $622 |
| 11 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 12 | Hospital Authority of Miller County Colquitt, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $373 | $373 | — | — | — | $373 – $373 |
| 13 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $370 | $370 | — | — | — | $370 – $370 |
| 14 | LECONTE MEDICAL CENTER Sevierville, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 15 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $388 | $388 | — | — | — | $388 – $388 |
| 16 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 17 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN case rate · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | Mease Countryside Hospital Harbor, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $586 | $586 | — | — | — | $586 – $586 |
| 20 | Mease Countryside Hospital Harbor, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $586 | $586 | — | — | — | $586 – $586 |
| 21 | Mease Dunedin Hospital Dunedin, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $586 | $586 | — | — | — | $586 – $586 |
| 22 | Mease Dunedin Hospital Dunedin, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $586 | $586 | — | — | — | $586 – $586 |
| 23 | Morton Plant Hospital Clearwater, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $586 | $586 | — | — | — | $586 – $586 |
| 24 | Morton Plant Hospital Clearwater, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $586 | $586 | — | — | — | $586 – $586 |
| 25 | Morton Plant NorthBay Hospital Lutz, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $586 | $586 | — | — | — | $586 – $586 |
← Payers reporting HCPCS C5278 · Snapshot 20261111T120946Z-9134e7f7