Q0111

Wet mounts, including preparations of vaginal, cervical or skin specimens

Medicare pricing data for 2,093 providers across 42 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

Wet mounts, including preparations of vaginal, cervical or skin specimens (HCPCS code Q0111) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $15.80, but hospitals typically charge $26.05 — a 1.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.16

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $15.80, your out-of-pocket cost would be approximately $3.16. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$15.80
Average Hospital Charge
$26.05
Markup Ratio
1.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$26.05
Medicare Allowed$15.80
Medicare Payment$15.80

Hospitals charge 1.6x more than what Medicare allows for this procedure. Medicare actually pays $15.80 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$17$50926+7.3%
Wisconsin$17$581754+7.3%
Alaska$17$552449+7.3%
Oregon$17$352091+6.9%
Massachusetts$17$6839188+6.7%
Arkansas$17$2027327+6.5%
Nebraska$17$2479322+6.3%
Maryland$17$2635435+6.1%
Georgia$17$2767395+5.9%
Iowa$17$2134155+5.3%
California$16$30165906+4.4%
Louisiana$16$2316448+3.9%
North Carolina$16$35323852+3.7%
Oklahoma$16$211022+3.7%
Mississippi$16$221448+3.5%
Tennessee$16$2577281+1.7%
Florida$16$19138665+1.3%
Washington$16$264178+1.2%
Illinois$16$3151127+0.7%
Texas$16$3550255+0.7%
Hawaii$16$211570+0.4%
South Carolina$16$30159697-0.1%
New Mexico$16$181423-0.2%
Indiana$16$2148136-1.1%
Kansas$16$171167-1.1%
North Dakota$15$36224-2.2%
Missouri$15$273980-2.3%
Pennsylvania$15$201091,113-2.7%
Ohio$15$252670-3.1%
Idaho$15$262567-3.4%
Montana$15$261738-3.5%
Kentucky$15$181221-4.2%
Michigan$15$1861232-5.6%
Wyoming$15$301430-7.3%
Arizona$14$251363-8.7%
Alabama$14$182477-10.4%
Colorado$14$1735114-10.5%
Virginia$14$1987364-11.5%
New York$13$1952493-15.3%
New Hampshire$13$161876-15.4%
District of Columbia$13$153557-18.0%
Connecticut$12$151566-23.1%

⚠️ 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