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
APPL SG F-S-N-H-F-G-M-D A TO 100 CM;EA ADD 25 CM
Monroe, LA
See all hospitals reporting HCPCS C5276 →Price type
Brfhh Monroe, Llc’s median price of $209 is 85% below the median hospital's median price ($1.4k), higher than 15% of the 1,070 hospitals reporting HCPCS C5276. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 4 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs La all payor fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | UnitedHealthcare all payor case rate · outpatient | $465 | $465 | $49 | 10% | — | $416 – $513 |
| 3 | Aetna all payor case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | First Health all payor other · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Apr 1, 2026
See Skin substitute graft application to face, scalp, or hands, up to 100 sq cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.