Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
Medicare pricing data for 6,870 providers across 52 states
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
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS code 15260) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $905.42, but hospitals typically charge $2,471 — a 2.7x 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 $905.42, your out-of-pocket cost would be approximately $181.08. 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 2.7x more than what Medicare allows for this procedure. Medicare actually pays $715.88 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $1,155 | $2,055 | 6 | 24 | +27.6% |
| Connecticut | $1,022 | $2,615 | 66 | 535 | +12.9% |
| New York | $1,016 | $2,955 | 318 | 2,271 | +12.2% |
| Massachusetts | $1,011 | $2,868 | 173 | 1,994 | +11.6% |
| New Jersey | $998 | $3,410 | 168 | 1,106 | +10.2% |
| Puerto Rico | $995 | $1,013 | 5 | 20 | +9.9% |
| California | $990 | $2,897 | 738 | 5,422 | +9.3% |
| Hawaii | $987 | $2,159 | 12 | 51 | +9.0% |
| Montana | $952 | $1,963 | 24 | 285 | +5.1% |
| Alaska | $951 | $3,892 | 10 | 70 | +5.0% |
| Colorado | $950 | $2,584 | 133 | 898 | +4.9% |
| Illinois | $944 | $3,246 | 230 | 1,390 | +4.2% |
| Rhode Island | $934 | $2,403 | 18 | 150 | +3.2% |
| Nevada | $929 | $2,664 | 44 | 458 | +2.6% |
| Maryland | $918 | $2,156 | 144 | 1,169 | +1.4% |
| Florida | $917 | $2,335 | 700 | 6,599 | +1.2% |
| Virginia | $915 | $2,242 | 183 | 1,660 | +1.1% |
| Pennsylvania | $915 | $2,182 | 282 | 2,177 | +1.1% |
| North Carolina | $903 | $2,227 | 201 | 2,112 | -0.3% |
| Texas | $896 | $2,536 | 456 | 4,020 | -1.1% |
| New Hampshire | $894 | $2,929 | 38 | 433 | -1.2% |
| South Carolina | $883 | $2,481 | 115 | 1,330 | -2.5% |
| Washington | $880 | $2,292 | 154 | 1,896 | -2.9% |
| Maine | $877 | $2,518 | 30 | 134 | -3.1% |
| Vermont | $877 | $1,540 | 10 | 74 | -3.1% |
| Oregon | $875 | $2,488 | 96 | 455 | -3.4% |
| Louisiana | $871 | $2,024 | 83 | 744 | -3.8% |
| Arizona | $870 | $2,407 | 182 | 2,173 | -3.9% |
| Oklahoma | $870 | $2,142 | 67 | 586 | -3.9% |
| Wyoming | $870 | $2,043 | 9 | 118 | -4.0% |
| Kentucky | $863 | $1,884 | 93 | 946 | -4.6% |
| Georgia | $863 | $2,503 | 210 | 1,921 | -4.7% |
| Delaware | $863 | $1,876 | 34 | 382 | -4.7% |
| Arkansas | $862 | $2,009 | 67 | 1,572 | -4.8% |
| West Virginia | $861 | $2,158 | 38 | 272 | -4.9% |
| North Dakota | $861 | $1,532 | 11 | 90 | -4.9% |
| Missouri | $860 | $2,317 | 154 | 1,160 | -5.0% |
| Ohio | $855 | $2,061 | 226 | 1,700 | -5.6% |
| Wisconsin | $853 | $4,221 | 102 | 675 | -5.8% |
| Utah | $847 | $2,338 | 88 | 570 | -6.5% |
| Minnesota | $844 | $3,484 | 117 | 472 | -6.8% |
| Indiana | $843 | $2,038 | 128 | 1,265 | -6.9% |
| Michigan | $842 | $2,291 | 171 | 711 | -7.0% |
| Alabama | $835 | $1,848 | 115 | 1,302 | -7.8% |
| Iowa | $832 | $2,969 | 87 | 578 | -8.1% |
| Kansas | $832 | $2,231 | 94 | 1,203 | -8.2% |
| Idaho | $827 | $2,060 | 51 | 228 | -8.7% |
| New Mexico | $825 | $2,797 | 16 | 79 | -8.9% |
| South Dakota | $822 | $1,742 | 31 | 166 | -9.2% |
| Tennessee | $822 | $2,077 | 171 | 1,288 | -9.3% |
| Nebraska | $796 | $2,382 | 70 | 267 | -12.1% |
| Mississippi | $764 | $2,565 | 74 | 595 | -15.6% |
⚠️ 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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