14020

Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less

Medicare pricing data for 3,352 providers across 42 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

Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less (HCPCS code 14020) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $667.24, but hospitals typically charge $1,858 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$133.45

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $667.24, your out-of-pocket cost would be approximately $133.45. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$667.24
Average Hospital Charge
$1,858
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,858.11
Medicare Allowed$667.24
Medicare Payment$527.52

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $527.52 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$761$2,1042161,646+14.1%
New Jersey$753$1,7511211,267+12.9%
California$728$2,0614453,295+9.0%
Alaska$698$5,218724+4.6%
Nevada$694$1,4281656+4.0%
Connecticut$693$1,7083698+3.9%
Rhode Island$690$2,525417+3.4%
Massachusetts$690$1,86675288+3.4%
Delaware$676$1,64030362+1.3%
Montana$672$1,4085113+0.8%
Maryland$657$2,25296568-1.6%
Pennsylvania$655$1,5181651,200-1.8%
Illinois$654$2,203111386-2.0%
Florida$652$1,9374032,505-2.3%
Kansas$648$2,5134488-2.9%
Colorado$640$2,08041116-4.0%
Missouri$638$2,39161169-4.3%
Arizona$624$1,665104542-6.5%
Virginia$612$1,56268265-8.3%
Georgia$610$1,968104459-8.6%
Washington$608$1,67884309-8.8%
South Dakota$603$1,518623-9.7%
New Mexico$602$2,1551454-9.8%
Indiana$602$1,64755367-9.8%
Minnesota$600$2,1253164-10.1%
Texas$598$1,569169850-10.4%
Louisiana$598$1,3694176-10.4%
Oregon$597$1,5082866-10.6%
Nebraska$597$1,6803050-10.6%
North Carolina$596$1,48887304-10.7%
Iowa$576$1,9852656-13.7%
Mississippi$571$1,44135150-14.4%
Ohio$562$1,47192295-15.8%
Utah$556$1,6793561-16.6%
South Carolina$554$1,57954234-16.9%
Tennessee$550$1,33265160-17.6%
Wisconsin$550$1,9192652-17.6%
Kentucky$548$1,5404891-17.9%
Michigan$543$1,56671113-18.6%
Oklahoma$539$1,5603154-19.2%
Alabama$501$1,48646126-24.9%
Arkansas$421$1,2972579-36.9%

⚠️ 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

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