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 Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft >= 100 Sq Cm 1st100 Sq Cm Low Cost
Troy, NY
See all hospitals reporting HCPCS C5277 →Price type
Samaritan Hospital’s median price of $4.8k is 261% above the median hospital's median price ($1.3k), higher than 94% of the 1,247 hospitals reporting HCPCS C5277. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 31 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 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $419 | $419 | — | — | — | $419 – $419 |
| 2 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 3 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 4 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 5 | Highmark blue shield of ne new york ascend facility · other · both | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 6 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 7 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 8 | Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 9 | Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 10 | Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 11 | Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 12 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 13 | Blue Cross Blue Shield blue shield of ne new york hmo facility · other · both | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 14 | Carefirst blue shield of ne new york hmo facility · other · both | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 15 | Highmark blue shield of ne new york hmo facility · other · both | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 16 | Wellmark blue shield of ne new york hmo facility · other · both | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 17 | Aetna aetna facility · other · both | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 18 | Medical Mutual aetna facility · other · both | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 19 | Blue Cross Blue Shield blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 20 | Carefirst blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 21 | Excellus blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 22 | Highmark blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 23 | Premera blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 24 | Regence blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 25 | Wellmark blue shield of ne new york ppo facility · other · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
Last updated: Mar 31, 2026
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