14040

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less

Medicare pricing data for 10,368 providers across 52 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS code 14040) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $693.15, but hospitals typically charge $2,075 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$138.63

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $693.15, your out-of-pocket cost would be approximately $138.63. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$693.15
Average Hospital Charge
$2,075
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,075.22
Medicare Allowed$693.15
Medicare Payment$547.25

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $547.25 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$799$2,0153313,127+15.2%
Alaska$790$5,97228131+14.0%
New York$789$2,5106064,180+13.8%
California$750$2,4841,1489,269+8.2%
Massachusetts$736$2,2792461,358+6.2%
Connecticut$726$1,897115468+4.8%
Nevada$708$1,85067343+2.2%
Florida$708$1,9181,0178,708+2.2%
Montana$707$1,57441378+2.0%
Illinois$706$2,5143712,079+1.9%
Colorado$702$2,111178759+1.3%
Pennsylvania$690$1,6555073,190-0.5%
Arizona$685$1,7732852,486-1.2%
Wyoming$680$1,86312107-1.9%
Virginia$680$2,0842631,211-2.0%
Delaware$675$1,64156808-2.6%
Washington$671$1,8542551,517-3.2%
Maryland$668$2,1812541,622-3.7%
North Carolina$666$1,7102961,878-3.9%
Puerto Rico$664$7852040-4.2%
Georgia$663$1,9422881,870-4.4%
New Hampshire$659$2,58037187-4.9%
Maine$657$1,8332785-5.2%
Rhode Island$657$2,40639161-5.3%
Minnesota$649$2,659168533-6.4%
Indiana$645$2,3072161,313-6.9%
Missouri$644$2,075175842-7.1%
Hawaii$643$1,9061952-7.2%
Texas$643$1,9426583,728-7.2%
Oregon$643$1,842120414-7.3%
Michigan$642$1,817283843-7.4%
District of Columbia$632$2,2372479-8.8%
Vermont$629$1,4831335-9.2%
West Virginia$627$1,54836112-9.5%
South Carolina$624$1,753161913-9.9%
Kansas$624$2,193107470-10.0%
Ohio$623$1,6513591,403-10.2%
South Dakota$622$1,61841271-10.3%
New Mexico$621$2,27742243-10.4%
Iowa$620$2,345115389-10.6%
Mississippi$619$1,72182511-10.7%
Nebraska$607$2,003101248-12.4%
Oklahoma$607$1,68592641-12.5%
Wisconsin$605$3,548156507-12.7%
Utah$603$2,082128545-13.1%
Idaho$602$1,70656199-13.1%
Louisiana$598$1,746126373-13.7%
Kentucky$588$1,503137639-15.1%
Tennessee$585$1,7462081,101-15.6%
North Dakota$582$1,9013373-16.0%
Alabama$560$1,909131660-19.2%
Arkansas$557$1,72989411-19.7%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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