Injection, sculptra, 0.5 mg
Medicare pricing data for 31 providers across 4 states
Prices vary significantly by location — from $0 in Rhode Island to $1 in California. 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
Injection, sculptra, 0.5 mg (HCPCS code Q2028) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1.10, but hospitals typically charge $3.71 — a 3.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1.10, your out-of-pocket cost would be approximately $0.22. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $0.87 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $1 | $4 | 18 | 442,353 | +10.0% |
| New York | $1 | $2 | 2 | 36,015 | -46.4% |
| Massachusetts | $1 | $1 | 2 | 22,785 | -49.1% |
| Rhode Island | $0 | $2 | 1 | 25,725 | -57.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber