Dressing and debridement of a partial-thickness burn, medium size at Forsyth Memorial Hospital, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PT MEDIUM BURN 5-10% TBSA

Winston-Salem, NC

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How this price compares nationally

Forsyth Memorial Hospital, Inc.’s median price of $421 is 38% above the median hospital's median price ($304), higher than 67% of the 2,281 hospitals reporting CPT 16025. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 16025 at Forsyth Memorial Hospital, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 27 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.

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1	Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient	$122.54	$122.54	$122.54 – $122.54
2	UnitedHealthcare medicaid fee schedule · outpatient	$122.54	$122.54	$122.54 – $122.54
3	WellCare medicaid fee schedule · outpatient	$122.54	$122.54	$122.54 – $122.54
4	Blue Cross Blue Shield blue medicare fee schedule · outpatient	$194.59	$194.59	$194.59 – $194.59
5	Humana medicare fee schedule · outpatient	$194.59	$194.59	$194.59 – $194.59
6	UnitedHealthcare medicare fee schedule · outpatient	$194.59	$194.59	$194.59 – $194.59
7	Aetna medicare fee schedule · outpatient	$199.45	$199.45	$199.45 – $199.45
8	Cigna healthspring fee schedule · outpatient	$200.43	$200.43	$200.43 – $200.43
9	Cigna aca fee schedule · outpatient	$250.38	$250.38	$250.38 – $250.38
10	Caresource qualified health plan fee schedule · outpatient	$258.80	$258.80	$258.80 – $258.80
11	Blue Cross Blue Shield blue home fee schedule · outpatient	$337.73	$337.73	$337.73 – $337.73
12	Blue Cross Blue Shield blue value fee schedule · outpatient	$349.38	$349.38	$349.38 – $349.38
13	Aetna commercial fee schedule · outpatient	$398.55	$398.55	$398.55 – $398.55
14	UnitedHealthcare all payer fee schedule · outpatient	$435.43	$435.43	$435.43 – $435.43
15	Blue Cross Blue Shield hmo fee schedule · outpatient	$444.48	$444.48	$444.48 – $444.48
16	Blue Cross Blue Shield ppo fee schedule · outpatient	$444.48	$444.48	$444.48 – $444.48
17	Humana commercial fee schedule · outpatient	$504.01	$504.01	$504.01 – $504.01
18	Aetna aca fee schedule · outpatient	$517.60	$517.60	$517.60 – $517.60
19	Aetna first health fee schedule · outpatient	$517.60	$517.60	$517.60 – $517.60
20	Aetna non-par products of apcn fee schedule · outpatient	$517.60	$517.60	$517.60 – $517.60
21	Aetna rental network products fee schedule · outpatient	$517.60	$517.60	$517.60 – $517.60
22	Aetna whole health non-multitier fee schedule · outpatient	$517.60	$517.60	$517.60 – $517.60
23	Medcost mbs fee schedule · outpatient	$549.95	$549.95	$549.95 – $549.95
24	Beechstreet commercial fee schedule · outpatient	$582.30	$582.30	$582.30 – $582.30
25	MultiPlan all plans fee schedule · outpatient	$582.30	$582.30	$582.30 – $582.30

Page 1 of 2 · 27 rates

Last updated: Mar 30, 2026

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