Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
Medicare pricing data for 6,199 providers across 49 states
Prices vary significantly by location — from $200 in Idaho to $407 in Hawaii. 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 face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS code 15004) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $298.41, but hospitals typically charge $1,177 — a 3.9x 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 $298.41, your out-of-pocket cost would be approximately $59.68. 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 3.9x more than what Medicare allows for this procedure. Medicare actually pays $237.15 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $407 | $1,323 | 4 | 20 | +36.4% |
| New York | $395 | $1,517 | 282 | 2,213 | +32.3% |
| District of Columbia | $350 | $1,040 | 24 | 209 | +17.3% |
| California | $341 | $1,276 | 679 | 4,818 | +14.1% |
| Illinois | $339 | $1,226 | 247 | 1,492 | +13.6% |
| Louisiana | $328 | $807 | 116 | 651 | +9.8% |
| Florida | $327 | $1,011 | 606 | 5,064 | +9.7% |
| New Jersey | $318 | $2,678 | 177 | 1,176 | +6.6% |
| Virginia | $318 | $1,504 | 232 | 1,738 | +6.4% |
| Texas | $313 | $1,051 | 540 | 3,185 | +4.9% |
| New Mexico | $310 | $1,029 | 28 | 113 | +3.7% |
| Alabama | $305 | $758 | 64 | 449 | +2.1% |
| Colorado | $299 | $907 | 95 | 428 | +0.3% |
| Kentucky | $295 | $777 | 65 | 387 | -1.0% |
| Pennsylvania | $291 | $917 | 261 | 951 | -2.6% |
| South Carolina | $284 | $940 | 86 | 386 | -4.7% |
| Connecticut | $284 | $1,249 | 41 | 165 | -4.7% |
| Massachusetts | $282 | $1,012 | 103 | 507 | -5.6% |
| North Carolina | $279 | $943 | 195 | 680 | -6.3% |
| Mississippi | $276 | $1,058 | 48 | 260 | -7.6% |
| Arkansas | $273 | $717 | 33 | 164 | -8.7% |
| Oklahoma | $272 | $723 | 82 | 611 | -8.8% |
| Michigan | $272 | $890 | 176 | 455 | -8.9% |
| Washington | $269 | $945 | 145 | 707 | -9.9% |
| Maryland | $268 | $1,279 | 160 | 1,151 | -10.3% |
| Ohio | $267 | $984 | 233 | 1,077 | -10.5% |
| Nevada | $264 | $826 | 57 | 625 | -11.7% |
| Missouri | $259 | $1,256 | 119 | 448 | -13.2% |
| Rhode Island | $259 | $1,433 | 8 | 77 | -13.3% |
| Montana | $259 | $696 | 7 | 12 | -13.3% |
| Indiana | $258 | $1,203 | 116 | 534 | -13.4% |
| West Virginia | $256 | $829 | 24 | 71 | -14.3% |
| Wisconsin | $255 | $1,997 | 90 | 266 | -14.4% |
| Tennessee | $255 | $1,409 | 158 | 891 | -14.4% |
| Kansas | $255 | $836 | 57 | 263 | -14.7% |
| Georgia | $251 | $1,090 | 179 | 1,722 | -15.8% |
| Utah | $250 | $833 | 49 | 275 | -16.1% |
| Arizona | $248 | $1,281 | 248 | 3,275 | -16.8% |
| Minnesota | $245 | $1,475 | 82 | 351 | -17.9% |
| Oregon | $245 | $1,135 | 35 | 146 | -18.0% |
| North Dakota | $241 | $787 | 11 | 24 | -19.2% |
| Iowa | $240 | $1,560 | 49 | 174 | -19.6% |
| Maine | $238 | $681 | 17 | 25 | -20.2% |
| New Hampshire | $233 | $1,097 | 11 | 35 | -22.0% |
| Nebraska | $228 | $1,285 | 33 | 205 | -23.6% |
| South Dakota | $224 | $1,012 | 23 | 161 | -25.1% |
| Delaware | $219 | $799 | 32 | 1,792 | -26.8% |
| Alaska | $211 | $2,391 | 8 | 50 | -29.4% |
| Idaho | $200 | $756 | 22 | 59 | -32.9% |
⚠️ 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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