Amniowrap2, per square centimeter
Medicare pricing data for 95 providers across 4 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Texas | $1,733 | $2,208 | 19 | 3,240 | +24.5% |
| Utah | $1,306 | $1,327 | 25 | 3,295 | -6.1% |
| California | $1,305 | $1,327 | 10 | 3,189 | -6.2% |
| Nevada | $1,246 | $1,269 | 16 | 5,611 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber