Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less
Medicare pricing data for 1,618 providers across 43 states
This procedure has a 6.7x markup — hospitals charge $265.20 but Medicare allows only $39.80. Uninsured patients may face bills 6.7 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
Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less (HCPCS code 15003) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $39.80, but hospitals typically charge $265.20 — a 6.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $39.80, your out-of-pocket cost would be approximately $7.96. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.7x more than what Medicare allows for this procedure. Medicare actually pays $31.76 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $51 | $315 | 76 | 960 | +27.4% |
| District of Columbia | $51 | $291 | 14 | 337 | +27.2% |
| Illinois | $49 | $244 | 53 | 734 | +22.7% |
| Maryland | $48 | $214 | 39 | 478 | +21.5% |
| New Jersey | $48 | $500 | 45 | 354 | +20.2% |
| Connecticut | $48 | $383 | 14 | 172 | +19.5% |
| Massachusetts | $47 | $185 | 42 | 947 | +18.8% |
| Montana | $45 | $205 | 6 | 31 | +13.6% |
| New Mexico | $45 | $174 | 14 | 77 | +13.5% |
| Michigan | $45 | $198 | 40 | 469 | +12.8% |
| Ohio | $44 | $278 | 60 | 742 | +11.4% |
| Louisiana | $44 | $240 | 19 | 1,035 | +11.3% |
| Pennsylvania | $44 | $166 | 86 | 1,665 | +11.0% |
| Texas | $44 | $310 | 124 | 2,326 | +10.1% |
| Washington | $44 | $154 | 32 | 774 | +9.6% |
| Maine | $43 | $186 | 5 | 108 | +8.9% |
| Oregon | $43 | $234 | 10 | 403 | +7.8% |
| Kentucky | $43 | $178 | 19 | 1,115 | +7.6% |
| West Virginia | $43 | $145 | 4 | 110 | +7.1% |
| Utah | $42 | $158 | 16 | 309 | +6.4% |
| North Carolina | $42 | $198 | 36 | 934 | +6.0% |
| Minnesota | $42 | $182 | 29 | 1,375 | +5.3% |
| Iowa | $42 | $337 | 13 | 589 | +4.6% |
| Oklahoma | $41 | $125 | 19 | 728 | +4.1% |
| Mississippi | $41 | $280 | 18 | 492 | +3.3% |
| Virginia | $41 | $621 | 44 | 1,172 | +2.5% |
| Alabama | $40 | $252 | 22 | 1,112 | +1.6% |
| South Carolina | $40 | $358 | 19 | 170 | -0.6% |
| Wisconsin | $39 | $438 | 30 | 228 | -1.2% |
| Nebraska | $39 | $179 | 13 | 798 | -1.5% |
| Arizona | $39 | $213 | 50 | 875 | -1.7% |
| Colorado | $39 | $194 | 29 | 852 | -2.5% |
| Tennessee | $38 | $234 | 38 | 1,801 | -3.9% |
| California | $38 | $274 | 149 | 5,828 | -4.0% |
| Florida | $38 | $207 | 113 | 3,664 | -4.8% |
| Arkansas | $38 | $262 | 10 | 422 | -5.5% |
| Missouri | $37 | $172 | 41 | 837 | -7.0% |
| Kansas | $37 | $181 | 24 | 436 | -7.1% |
| Idaho | $36 | $129 | 12 | 77 | -10.7% |
| Indiana | $33 | $147 | 22 | 783 | -15.9% |
| Georgia | $33 | $384 | 64 | 7,150 | -16.9% |
| Nevada | $30 | $153 | 19 | 1,023 | -24.6% |
| South Dakota | $28 | $117 | 13 | 39 | -30.0% |
⚠️ 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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