Q4250

Amnioamp-mp, per square centimeter

Medicare pricing data for 86 providers across 7 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

Amnioamp-mp, per square centimeter (HCPCS code Q4250) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,618, but hospitals typically charge $1,707 — a 1.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$323.64

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,618, your out-of-pocket cost would be approximately $323.64. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,618
Average Hospital Charge
$1,707
Markup Ratio
1.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,706.85
Medicare Allowed$1,618.19
Medicare Payment$1,289.29

Hospitals charge 1.1x more than what Medicare allows for this procedure. Medicare actually pays $1,289 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Colorado$1,772$1,80131,614+9.5%
Florida$1,672$1,9733746+3.3%
Texas$1,666$1,797163,187+3.0%
California$1,629$1,683182,310+0.7%
Nevada$1,624$1,6507760+0.3%
Utah$1,533$1,649152,529-5.3%
Georgia$1,511$1,54812,678-6.6%

⚠️ 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