Amniply, for topical use only, per square centimeter
Medicare pricing data for 50 providers across 5 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
Amniply, for topical use only, per square centimeter (HCPCS code Q4249) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $604.11, but hospitals typically charge $711.45 — a 1.2x 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 $604.11, your out-of-pocket cost would be approximately $120.82. 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 1.2x more than what Medicare allows for this procedure. Medicare actually pays $481.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $647 | $800 | 1 | 233 | +7.0% |
| Arkansas | $645 | $725 | 6 | 3,534 | +6.7% |
| Texas | $633 | $742 | 25 | 7,271 | +4.8% |
| Kentucky | $575 | $700 | 2 | 9,974 | -4.9% |
| California | $573 | $625 | 2 | 997 | -5.2% |
⚠️ 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