Q4282

Cygnus dual, per square centimeter

Medicare pricing data for 79 providers across 3 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

Cygnus dual, per square centimeter (HCPCS code Q4282) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,362, but hospitals typically charge $1,758 — a 1.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$272.40

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,362, your out-of-pocket cost would be approximately $272.40. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,362
Average Hospital Charge
$1,758
Markup Ratio
1.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,758.48
Medicare Allowed$1,362.00
Medicare Payment$1,085.17

Hospitals charge 1.3x more than what Medicare allows for this procedure. Medicare actually pays $1,085 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Texas$1,368$1,96473,029+0.5%
Florida$1,364$1,686399,057+0.2%
Pennsylvania$1,358$1,38671,131-0.3%

⚠️ 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