Q4221

Amniowrap2, per square centimeter

Medicare pricing data for 95 providers across 4 states

🤖AI Overview

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

Amniowrap2, per square centimeter (HCPCS code Q4221) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,391, but hospitals typically charge $1,509 — a 1.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$278.28

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,391, your out-of-pocket cost would be approximately $278.28. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,391
Average Hospital Charge
$1,509
Markup Ratio
1.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,509.07
Medicare Allowed$1,391.42
Medicare Payment$1,108.46

Hospitals charge 1.1x more than what Medicare allows for this procedure. Medicare actually pays $1,108 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Texas$1,733$2,208193,240+24.5%
Utah$1,306$1,327253,295-6.1%
California$1,305$1,327103,189-6.2%
Nevada$1,246$1,269165,611-10.5%

⚠️ 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