Partial thickness self skin graft 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 1,429 providers across 42 states
This procedure has a 6.3x markup — hospitals charge $689.65 but Medicare allows only $109.04. Uninsured patients may face bills 6.3 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
Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less (HCPCS code 15101) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $109.04, but hospitals typically charge $689.65 — a 6.3x 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 $109.04, your out-of-pocket cost would be approximately $21.81. 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 6.3x more than what Medicare allows for this procedure. Medicare actually pays $87.01 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $126 | $1,241 | 75 | 514 | +15.9% |
| District of Columbia | $125 | $635 | 10 | 100 | +14.5% |
| New Jersey | $120 | $1,257 | 31 | 152 | +9.8% |
| Maryland | $119 | $463 | 41 | 219 | +9.3% |
| Massachusetts | $118 | $476 | 46 | 444 | +8.4% |
| Connecticut | $117 | $472 | 9 | 56 | +7.5% |
| Illinois | $117 | $1,006 | 47 | 422 | +7.2% |
| Washington | $117 | $524 | 19 | 305 | +7.0% |
| Florida | $114 | $642 | 92 | 830 | +4.8% |
| New Hampshire | $113 | $1,114 | 12 | 22 | +3.8% |
| California | $112 | $799 | 132 | 1,883 | +2.6% |
| Michigan | $111 | $739 | 34 | 194 | +1.4% |
| Pennsylvania | $110 | $810 | 79 | 793 | +0.5% |
| New Mexico | $110 | $461 | 10 | 40 | +0.4% |
| Oregon | $109 | $637 | 17 | 293 | +0.3% |
| Colorado | $109 | $502 | 32 | 439 | -0.0% |
| Texas | $109 | $758 | 114 | 770 | -0.3% |
| Virginia | $108 | $816 | 31 | 314 | -0.8% |
| Louisiana | $108 | $502 | 23 | 301 | -0.9% |
| Arizona | $108 | $388 | 28 | 328 | -1.2% |
| Ohio | $108 | $526 | 55 | 348 | -1.2% |
| Maine | $108 | $316 | 8 | 55 | -1.4% |
| Missouri | $107 | $500 | 28 | 435 | -1.6% |
| Georgia | $107 | $639 | 37 | 1,004 | -1.6% |
| Utah | $106 | $562 | 9 | 137 | -3.0% |
| Minnesota | $104 | $465 | 25 | 537 | -4.2% |
| Oklahoma | $104 | $307 | 17 | 412 | -4.5% |
| North Carolina | $104 | $566 | 33 | 473 | -4.5% |
| Kentucky | $103 | $431 | 22 | 262 | -5.3% |
| South Dakota | $103 | $525 | 11 | 33 | -5.8% |
| Kansas | $102 | $382 | 24 | 176 | -6.2% |
| Mississippi | $102 | $658 | 14 | 154 | -6.6% |
| Nevada | $102 | $554 | 12 | 80 | -6.7% |
| South Carolina | $102 | $675 | 19 | 42 | -6.8% |
| Iowa | $101 | $1,289 | 15 | 512 | -7.4% |
| Idaho | $100 | $331 | 10 | 34 | -8.2% |
| Tennessee | $100 | $781 | 36 | 573 | -8.7% |
| Indiana | $99 | $611 | 25 | 174 | -9.1% |
| Wisconsin | $99 | $1,324 | 37 | 136 | -9.1% |
| Nebraska | $99 | $478 | 16 | 195 | -9.2% |
| Alabama | $99 | $676 | 17 | 353 | -9.4% |
| Arkansas | $98 | $459 | 16 | 107 | -10.3% |
⚠️ 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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