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
HC APPL LOW COST SKIN SUB GRFT T/ARM/LG CHILD ADD 100 SQ CM
DeKalb, MS
See all hospitals reporting HCPCS C5274 →Price type
Kemper CAH, Inc.’s median price of $373 is 77% below the median hospital's median price ($1.7k), higher than 15% of the 1,035 hospitals reporting HCPCS C5274. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 12 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 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 2 | Optum all payor other · outpatient | $311 | $311 | — | — | — | $311 – $311 |
| 3 | UnitedHealthcare all payor other · outpatient | $311 | $311 | — | — | — | $311 – $311 |
| 4 | Cigna all payor other · outpatient | $348 | $348 | — | — | — | $348 – $348 |
| 5 | Cigna Healthspring all payor other · outpatient | $366 | $366 | — | — | — | $366 – $366 |
| 6 | Humana all payor other · outpatient | $366 | $366 | — | — | — | $366 – $366 |
| 7 | Ambetter all payor other · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 8 | Molina all payor other · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 9 | WellCare all payor other · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 10 | Aetna all payor other · outpatient | $397 | $397 | — | — | — | $397 – $397 |
| 11 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $397 | $397 | — | — | — | $397 – $397 |
| 12 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $458 | $458 | — | — | — | $458 – $458 |
Last updated: Apr 1, 2026
See Skin substitute graft to large wound, each additional 100 sq cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.