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 Soft Skin Sub Grft F/N/Hf/G >=100, 1st 100 or 1%Child
Gary, IN
See all hospitals reporting HCPCS C5277 →Price type
The Methodist Hospitals, Inc.’s median price of $865 is 34% below the median hospital's median price ($1.3k), higher than 34% 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: 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 | $796 | $796 | — | — | — | $796 – $796 |
| 11 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $865 | $865 | — | — | — | $865 – $865 |
| 12 | UnitedHealthcare navigate and core payer facility · percent of total billed charges · outpatientfrom % of charges | $865 | $865 | — | — | — | $865 – $865 |
| 13 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · percent of total billed charges · outpatientfrom % of charges | $929 | $929 | — | — | — | $929 – $929 |
| 14 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Aug 18, 2026
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