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 Low Cost Skin Sub Grft T/Arm/Lg >= 1st 100, 1%Child
Gary, IN
See all hospitals reporting HCPCS C5273 →Price type
The Methodist Hospitals, Inc.’s median price of $2.9k is 4% above the median hospital's median price ($2.8k), higher than 53% of the 1,288 hospitals reporting HCPCS C5273. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 17 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 | Aetna hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Anthem individual on exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Anthem pathway essentials facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $758 | $758 | — | — | — | $758 – $758 |
| 7 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $758 | $758 | — | — | — | $758 – $758 |
| 8 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $758 | $758 | — | — | — | $758 – $758 |
| 9 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $758 | $758 | — | — | — | $758 – $758 |
| 10 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 11 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 12 | UnitedHealthcare navigate and core payer facility · percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 13 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 14 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 15 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 16 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 17 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
Last updated: Aug 18, 2026
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