Q4158

Kerecis omega3, per square centimeter

Medicare pricing data for 505 providers across 28 states

🤖AI Overview

Prices vary significantly by location — from $94 in Oklahoma to $889 in Nevada. 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

Kerecis omega3, per square centimeter (HCPCS code Q4158) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $328.66, but hospitals typically charge $413.24 — a 1.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$65.73

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $328.66, your out-of-pocket cost would be approximately $65.73. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$328.66
Average Hospital Charge
$413.24
Markup Ratio
1.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$413.24
Medicare Allowed$328.66
Medicare Payment$261.84

Hospitals charge 1.3x more than what Medicare allows for this procedure. Medicare actually pays $261.84 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Nevada$889$904142,672+170.6%
California$586$6042432,818+78.2%
Utah$480$50910424+46.2%
Arizona$263$2775847-19.9%
Indiana$201$276222,768-38.7%
Maryland$201$2649837-39.0%
Washington$197$6548461-39.9%
Kansas$188$557197,071-42.7%
Iowa$187$24093,275-43.1%
Michigan$186$228161,345-43.5%
Missouri$184$404171,792-43.9%
Nebraska$182$2108775-44.8%
Delaware$181$1855945-44.9%
Texas$161$326475,317-51.0%
Pennsylvania$157$238253,255-52.3%
Ohio$153$36581,101-53.3%
South Carolina$152$257121,059-53.7%
Alabama$152$249132,435-53.9%
Georgia$148$270154,898-55.1%
North Carolina$143$26612847-56.5%
Tennessee$135$246152,850-59.0%
Arkansas$129$232586-60.9%
Florida$127$2117011,976-61.2%
Louisiana$125$18281,805-61.9%
Virginia$123$147181,746-62.6%
New Jersey$119$157274,027-63.6%
Colorado$107$190143,115-67.4%
Oklahoma$94$2815379-71.3%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber