Creation of muscle graft to trunk
Medicare pricing data for 6,059 providers across 50 states
This procedure has a 6.4x markup — hospitals charge $6,338 but Medicare allows only $996.55. Uninsured patients may face bills 6.4 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
Creation of muscle graft to trunk (HCPCS code 15734) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $996.55, but hospitals typically charge $6,338 — a 6.4x 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 $996.55, your out-of-pocket cost would be approximately $199.31. 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 6.4x more than what Medicare allows for this procedure. Medicare actually pays $794.67 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,314 | $8,631 | 9 | 32 | +31.8% |
| Puerto Rico | $1,307 | $2,785 | 8 | 24 | +31.2% |
| Hawaii | $1,269 | $3,817 | 5 | 19 | +27.3% |
| District of Columbia | $1,233 | $4,947 | 36 | 272 | +23.7% |
| Massachusetts | $1,136 | $5,203 | 156 | 491 | +14.0% |
| Maryland | $1,124 | $3,988 | 142 | 884 | +12.8% |
| New York | $1,096 | $10,016 | 439 | 4,718 | +10.0% |
| Connecticut | $1,091 | $6,079 | 88 | 267 | +9.4% |
| Michigan | $1,075 | $3,991 | 144 | 498 | +7.9% |
| Pennsylvania | $1,062 | $5,251 | 270 | 1,277 | +6.5% |
| California | $1,049 | $5,437 | 565 | 2,663 | +5.2% |
| New Hampshire | $1,031 | $9,508 | 39 | 82 | +3.5% |
| Illinois | $1,018 | $7,033 | 215 | 929 | +2.2% |
| Virginia | $1,017 | $8,458 | 129 | 480 | +2.1% |
| Missouri | $1,003 | $4,296 | 126 | 596 | +0.6% |
| Georgia | $998 | $4,657 | 178 | 717 | +0.1% |
| Louisiana | $997 | $5,714 | 77 | 218 | +0.0% |
| Tennessee | $994 | $3,763 | 127 | 628 | -0.3% |
| Minnesota | $989 | $6,312 | 86 | 351 | -0.8% |
| Iowa | $983 | $6,172 | 34 | 95 | -1.4% |
| Texas | $979 | $6,036 | 437 | 1,835 | -1.8% |
| Florida | $968 | $5,037 | 509 | 2,077 | -2.9% |
| South Carolina | $963 | $5,593 | 101 | 528 | -3.3% |
| Ohio | $958 | $5,590 | 221 | 1,095 | -3.8% |
| New Jersey | $952 | $12,979 | 254 | 1,455 | -4.5% |
| Mississippi | $946 | $3,881 | 51 | 150 | -5.1% |
| West Virginia | $943 | $3,166 | 26 | 51 | -5.4% |
| Oregon | $935 | $4,189 | 70 | 296 | -6.2% |
| Montana | $930 | $3,706 | 27 | 65 | -6.7% |
| North Dakota | $914 | $3,662 | 20 | 42 | -8.3% |
| Kansas | $910 | $3,572 | 65 | 212 | -8.7% |
| Utah | $901 | $3,568 | 39 | 125 | -9.6% |
| Kentucky | $893 | $3,569 | 84 | 323 | -10.4% |
| Oklahoma | $890 | $3,988 | 50 | 131 | -10.6% |
| Washington | $886 | $3,517 | 151 | 540 | -11.1% |
| Arkansas | $885 | $3,247 | 60 | 248 | -11.2% |
| Alabama | $874 | $4,116 | 101 | 485 | -12.3% |
| Arizona | $868 | $5,474 | 148 | 607 | -12.9% |
| Rhode Island | $860 | $3,378 | 18 | 151 | -13.7% |
| Delaware | $848 | $3,048 | 43 | 150 | -14.9% |
| New Mexico | $845 | $2,926 | 29 | 142 | -15.3% |
| Colorado | $830 | $4,799 | 89 | 356 | -16.8% |
| Indiana | $827 | $4,039 | 124 | 447 | -17.0% |
| North Carolina | $826 | $4,727 | 139 | 746 | -17.1% |
| Wisconsin | $821 | $10,400 | 101 | 269 | -17.6% |
| Idaho | $821 | $3,698 | 33 | 143 | -17.6% |
| Nebraska | $789 | $3,941 | 33 | 91 | -20.8% |
| South Dakota | $788 | $3,016 | 19 | 52 | -20.9% |
| Nevada | $780 | $4,943 | 48 | 208 | -21.7% |
| Maine | $737 | $3,936 | 32 | 154 | -26.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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