G0168

Wound closure utilizing tissue adhesive(s) only

Medicare pricing data for 19,173 providers across 52 states

🤖AI Overview

This procedure has a 7.1x markup — hospitals charge $249.33 but Medicare allows only $35.01. Uninsured patients may face bills 7.1 times higher than what insurance negotiates. Prices vary significantly by location — from $12 in South Dakota to $59 in New York. 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

Wound closure utilizing tissue adhesive(s) only (HCPCS code G0168) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $35.01, but hospitals typically charge $249.33 — a 7.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.00

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $35.01, your out-of-pocket cost would be approximately $7.00. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$35.01
Average Hospital Charge
$249.33
Markup Ratio
7.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$249.33
Medicare Allowed$35.01
Medicare Payment$26.03

Hospitals charge 7.1x more than what Medicare allows for this procedure. Medicare actually pays $26.03 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$59$2981,1911,917+68.1%
Connecticut$51$214235381+46.6%
Nebraska$51$20979120+46.2%
Louisiana$48$219248361+35.8%
Idaho$47$18593135+35.2%
California$46$1992,1354,481+32.1%
Iowa$45$24683112+28.4%
Colorado$44$186275396+26.5%
New Jersey$43$357550996+24.0%
Wyoming$42$2253765+20.5%
New Hampshire$39$25072123+12.3%
Arizona$38$287479861+7.6%
South Carolina$37$234438776+5.6%
Washington$36$228387658+3.3%
New Mexico$36$10485315+3.0%
Virginia$36$226449752+1.7%
Massachusetts$35$1755571,018-0.3%
Kansas$35$215171273-1.3%
Montana$34$1983561-2.3%
Maine$34$2374875-3.7%
Minnesota$33$344291416-6.4%
Maryland$33$191401657-6.6%
North Carolina$33$2117601,329-6.8%
Texas$33$2751,1431,677-6.9%
Florida$32$3111,4913,018-8.1%
Hawaii$32$1616193-8.1%
Georgia$32$226462705-9.3%
Mississippi$31$344183267-11.8%
District of Columbia$30$1805588-13.6%
Nevada$30$358147226-14.2%
Oklahoma$30$255320562-14.5%
Pennsylvania$29$2038291,308-16.1%
Alabama$29$229246375-17.0%
Illinois$29$2598281,461-18.3%
West Virginia$28$27467101-21.4%
Oregon$27$226154215-21.7%
Wisconsin$27$341394548-21.9%
Michigan$27$257643997-23.1%
Alaska$26$2514368-26.0%
Delaware$25$183105171-29.1%
Tennessee$23$255513961-34.8%
Indiana$23$219435688-35.1%
Missouri$22$232336562-35.8%
Utah$21$205123160-41.0%
Arkansas$20$307137247-42.6%
Ohio$20$2918401,340-43.2%
Kentucky$18$260281475-48.7%
Puerto Rico$15$407915-57.2%
Rhode Island$14$212122219-60.3%
North Dakota$14$2852344-61.0%
Vermont$13$3611424-61.6%
South Dakota$12$2252842-64.7%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber