15002

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less

Medicare pricing data for 4,890 providers across 46 states

🤖AI Overview

Prices vary significantly by location — from $148 in South Dakota to $401 in Delaware. Where you get this procedure matters more than almost any other factor. 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

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS code 15002) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $254.87, but hospitals typically charge $1,064 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$50.97

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $254.87, your out-of-pocket cost would be approximately $50.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$254.87
Average Hospital Charge
$1,064
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,064.13
Medicare Allowed$254.87
Medicare Payment$202.59

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $202.59 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$401$1,34611394+57.5%
New York$328$1,8892461,493+28.7%
California$286$1,2124953,772+12.2%
New Jersey$280$2,358195969+9.9%
New Mexico$269$59437123+5.4%
Texas$266$7673872,887+4.5%
Maryland$264$993105537+3.7%
District of Columbia$262$92124155+2.8%
Kentucky$259$71157336+1.6%
Illinois$259$1,166159525+1.4%
Oklahoma$256$64064367+0.4%
Colorado$255$62984695-0.1%
Arizona$254$1,2321812,783-0.4%
Florida$252$7814952,959-1.3%
Utah$251$62052504-1.6%
Pennsylvania$250$819236806-1.9%
Massachusetts$249$983114559-2.2%
Louisiana$247$752100349-3.0%
Washington$241$81272582-5.6%
Connecticut$239$1,09449207-6.3%
Mississippi$236$89259326-7.2%
Virginia$236$2,245135734-7.3%
South Carolina$236$82563227-7.5%
Minnesota$235$1,05170302-7.8%
North Carolina$224$862103295-12.3%
Michigan$223$757118301-12.6%
Montana$218$8481639-14.5%
Georgia$218$8971641,789-14.7%
Ohio$217$884180571-14.7%
Indiana$217$1,11577227-15.0%
Idaho$216$48731149-15.4%
Oregon$215$1,1852778-15.5%
Alabama$214$79264211-15.9%
Maine$207$5892059-19.0%
West Virginia$206$7401945-19.0%
Arkansas$206$68926125-19.3%
Rhode Island$205$853924-19.4%
Nevada$204$64244889-19.8%
New Hampshire$204$745923-19.9%
Iowa$203$1,32030143-20.3%
Missouri$202$903101332-20.8%
Wisconsin$197$1,76394234-22.9%
Tennessee$196$790105443-23.2%
Nebraska$186$1,00530271-27.1%
Kansas$185$67948256-27.4%
South Dakota$148$4792459-42.1%

⚠️ 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

💊 Need post-procedure medications? Check costs on OpenPrescriber

🏥 See Medicare hospital data on OpenMedicare