17250

Application of chemical to stop tissue regrowth in wound

Medicare pricing data for 14,367 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $34 in Idaho to $85 in Puerto Rico. 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

Application of chemical to stop tissue regrowth in wound (HCPCS code 17250) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $51.95, but hospitals typically charge $196.12 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.39

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $51.95, your out-of-pocket cost would be approximately $10.39. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$51.95
Average Hospital Charge
$196.12
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$196.12
Medicare Allowed$51.95
Medicare Payment$40.73

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $40.73 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$85$107747+63.7%
Wyoming$76$2781236+46.9%
New York$71$25598715,470+36.1%
District of Columbia$68$26833368+31.1%
Delaware$64$14851286+22.6%
Hawaii$63$1532582+22.0%
New Jersey$63$2546235,399+20.6%
California$62$1761,32136,996+19.9%
Alaska$61$3732979+18.0%
Maryland$59$1993103,211+13.1%
Nevada$58$12771866+11.6%
Utah$58$13078485+11.2%
Virginia$58$1583944,317+11.1%
Illinois$58$1985615,055+10.7%
Vermont$57$1392055+9.9%
Arizona$57$1622601,346+9.0%
Colorado$54$202139771+3.4%
Pennsylvania$53$1886896,963+2.7%
Massachusetts$53$2044364,107+1.4%
Rhode Island$52$21667558-0.3%
Connecticut$52$1901601,321-0.4%
Texas$51$21388913,613-1.1%
Minnesota$51$2562551,107-2.4%
Washington$51$1702561,832-2.6%
Tennessee$50$1953282,686-3.3%
North Carolina$50$1804287,032-4.5%
Ohio$49$1636244,474-5.4%
Missouri$48$2003092,787-6.8%
Arkansas$48$157108770-6.9%
Indiana$47$1873553,585-9.4%
Michigan$47$1633812,264-10.5%
Kansas$46$164119686-11.4%
South Carolina$46$1652383,186-11.6%
Oregon$46$1901201,588-12.3%
Alabama$45$1421471,150-12.5%
Mississippi$45$1381361,462-12.7%
Florida$45$2051,37163,152-12.8%
Oklahoma$44$182140944-15.5%
Georgia$43$1703714,807-16.7%
Montana$43$16040247-17.9%
New Hampshire$43$168108875-18.0%
Kentucky$42$1811942,164-18.4%
West Virginia$42$18150474-19.0%
Iowa$41$2171651,397-20.5%
Louisiana$41$16724812,320-20.7%
North Dakota$41$22860239-21.0%
Wisconsin$40$3043142,175-22.7%
Maine$37$15574312-28.5%
South Dakota$37$17042201-29.0%
Nebraska$35$170120671-32.0%
New Mexico$34$13632272-34.1%
Idaho$34$13062543-34.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber