A2014

Omeza collagen matrix, per 100 mg

Medicare pricing data for 38 providers across 2 states

🤖AI Overview

This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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

Omeza collagen matrix, per 100 mg (HCPCS code A2014) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $63.77, but hospitals typically charge $130.25 — a 2.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$12.75

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $63.77, your out-of-pocket cost would be approximately $12.75. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$63.77
Average Hospital Charge
$130.25
Markup Ratio
2.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$130.25
Medicare Allowed$63.77
Medicare Payment$50.80

Hospitals charge 2.0x more than what Medicare allows for this procedure. Medicare actually pays $50.80 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Nevada$92$10011,776+44.6%
Florida$54$118206,595-15.1%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber