A2005

Microlyte matrix, per square centimeter

Medicare pricing data for 102 providers across 5 states

🤖AI Overview

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

Microlyte matrix, per square centimeter (HCPCS code A2005) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $253.09, but hospitals typically charge $434.47 — a 1.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$50.62

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $253.09, your out-of-pocket cost would be approximately $50.62. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$253.09
Average Hospital Charge
$434.47
Markup Ratio
1.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$434.47
Medicare Allowed$253.09
Medicare Payment$201.81

Hospitals charge 1.7x more than what Medicare allows for this procedure. Medicare actually pays $201.81 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$260$48132,600+2.6%
Texas$259$626307,099+2.4%
Oklahoma$258$45291,179+2.1%
Florida$253$3653518,178-0.2%
Michigan$227$29591,900-10.4%

⚠️ 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