Q4257

Relese, per square centimeter

Medicare pricing data for 120 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

Relese, per square centimeter (HCPCS code Q4257) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $669.86, but hospitals typically charge $1,141 — a 1.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$133.97

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $669.86, your out-of-pocket cost would be approximately $133.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$669.86
Average Hospital Charge
$1,141
Markup Ratio
1.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,140.59
Medicare Allowed$669.86
Medicare Payment$533.71

Hospitals charge 1.7x more than what Medicare allows for this procedure. Medicare actually pays $533.71 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$709$8002252+5.9%
Florida$704$8863630+5.1%
Oklahoma$683$1,51663,370+2.0%
Colorado$682$1,197131,943+1.9%
Arkansas$678$928171,761+1.2%
Texas$667$1,1566115,561-0.4%
New Mexico$654$73672,478-2.3%

⚠️ 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