Q4281

Barrera sl or barrera dl, per square centimeter

Medicare pricing data for 287 providers across 12 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

Barrera sl or barrera dl, per square centimeter (HCPCS code Q4281) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,535, but hospitals typically charge $1,648 — a 1.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$307.04

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,535, your out-of-pocket cost would be approximately $307.04. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,535
Average Hospital Charge
$1,648
Markup Ratio
1.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,648.37
Medicare Allowed$1,535.22
Medicare Payment$1,223.18

Hospitals charge 1.1x more than what Medicare allows for this procedure. Medicare actually pays $1,223 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Mississippi$1,571$1,60081,910+2.3%
Michigan$1,569$1,5953464+2.2%
Florida$1,566$1,8304611,820+2.0%
Texas$1,561$1,8027720,704+1.7%
Louisiana$1,554$1,650131,458+1.3%
Illinois$1,530$1,568146,578-0.3%
Arizona$1,525$1,55011,462-0.7%
Nevada$1,525$1,55041,086-0.7%
California$1,524$1,5507453,689-0.7%
Utah$1,502$1,5462541-2.2%
New Jersey$1,481$1,57762,813-3.5%
New York$1,453$1,55632,420-5.3%

⚠️ 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