14302

Repair of wound by transferring skin, each additional 30.0 sq cm

Medicare pricing data for 4,817 providers across 47 states

🤖AI Overview

This procedure has a 5.4x markup — hospitals charge $1,042 but Medicare allows only $193.19. Uninsured patients may face bills 5.4 times higher than what insurance negotiates. 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 by transferring skin, each additional 30.0 sq cm (HCPCS code 14302) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $193.19, but hospitals typically charge $1,042 — a 5.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$38.64

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $193.19, your out-of-pocket cost would be approximately $38.64. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$193.19
Average Hospital Charge
$1,042
Markup Ratio
5.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,041.71
Medicare Allowed$193.19
Medicare Payment$154.19

Hospitals charge 5.4x more than what Medicare allows for this procedure. Medicare actually pays $154.19 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$241$66224552+24.9%
New York$227$2,7143075,600+17.8%
Rhode Island$217$61820184+12.3%
Massachusetts$215$8121131,740+11.5%
Connecticut$215$1,45057356+11.3%
Montana$210$7321441+8.8%
Michigan$209$6281321,954+8.2%
Illinois$208$1,0141672,470+7.6%
West Virginia$206$5661893+6.9%
Ohio$206$8481652,170+6.7%
North Dakota$206$5989102+6.4%
California$205$9264825,718+6.0%
Virginia$205$1,4131421,624+6.0%
Oregon$201$61751393+3.9%
Maryland$199$6881071,571+2.8%
Missouri$196$65396807+1.7%
Washington$194$5831551,457+0.5%
Alabama$194$54056303+0.4%
Utah$193$53846422+0.1%
Florida$192$7824405,797-0.8%
Arkansas$191$56123400-0.9%
Minnesota$190$97391911-1.4%
Louisiana$188$90061523-2.8%
New Hampshire$188$77327318-2.9%
North Carolina$187$6311461,179-3.2%
Pennsylvania$186$7801912,783-3.6%
Indiana$186$87986937-3.8%
South Carolina$186$77175765-3.9%
Texas$185$9723736,186-4.2%
Nevada$185$63035310-4.3%
Kansas$183$59648613-5.2%
Tennessee$182$670841,016-5.8%
Georgia$180$8231202,294-6.8%
Wisconsin$179$1,33897845-7.6%
Maine$176$4891362-8.8%
Kentucky$175$85846528-9.2%
Colorado$175$695911,618-9.3%
Arizona$172$1,1001563,448-10.8%
Iowa$170$75444249-12.0%
New Jersey$169$1,8051522,579-12.4%
Oklahoma$166$40545728-14.0%
New Mexico$158$566982-18.1%
Delaware$157$38324547-18.9%
Idaho$155$40620152-19.7%
Mississippi$152$60234570-21.4%
South Dakota$150$34028301-22.5%
Nebraska$146$65752715-24.4%

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

Related from TheDataProject.ai

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