Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm
Medicare pricing data for 3,816 providers across 46 states
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, 10.1-30.0 sq cm (HCPCS code 14021) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $815.77, but hospitals typically charge $2,176 — a 2.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $815.77, your out-of-pocket cost would be approximately $163.15. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.7x more than what Medicare allows for this procedure. Medicare actually pays $645.50 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $922 | $1,780 | 6 | 11 | +13.1% |
| New York | $916 | $2,768 | 242 | 1,566 | +12.2% |
| California | $898 | $2,634 | 471 | 3,082 | +10.1% |
| New Jersey | $895 | $2,591 | 107 | 982 | +9.7% |
| Connecticut | $891 | $1,481 | 39 | 370 | +9.2% |
| New Hampshire | $883 | $2,529 | 5 | 41 | +8.2% |
| Rhode Island | $870 | $3,227 | 5 | 48 | +6.7% |
| Montana | $854 | $1,671 | 6 | 57 | +4.7% |
| Nevada | $847 | $1,460 | 18 | 106 | +3.8% |
| Massachusetts | $845 | $2,460 | 89 | 360 | +3.6% |
| Illinois | $843 | $2,738 | 114 | 534 | +3.4% |
| Colorado | $827 | $1,939 | 57 | 321 | +1.4% |
| Florida | $823 | $2,075 | 450 | 2,854 | +0.9% |
| Pennsylvania | $816 | $1,607 | 167 | 1,063 | +0.1% |
| West Virginia | $810 | $1,562 | 3 | 11 | -0.7% |
| Ohio | $801 | $1,752 | 113 | 547 | -1.8% |
| Minnesota | $792 | $2,787 | 48 | 117 | -3.0% |
| Washington | $783 | $1,846 | 104 | 597 | -4.0% |
| Virginia | $783 | $2,033 | 93 | 395 | -4.0% |
| Maryland | $780 | $2,342 | 96 | 392 | -4.4% |
| Texas | $772 | $1,963 | 244 | 974 | -5.3% |
| Arizona | $772 | $2,069 | 135 | 833 | -5.3% |
| Kansas | $763 | $2,222 | 41 | 208 | -6.5% |
| Tennessee | $763 | $1,923 | 71 | 214 | -6.5% |
| Michigan | $762 | $1,872 | 70 | 159 | -6.6% |
| Georgia | $759 | $2,100 | 126 | 786 | -6.9% |
| Oregon | $759 | $2,231 | 50 | 208 | -7.0% |
| South Dakota | $758 | $1,397 | 16 | 54 | -7.0% |
| South Carolina | $755 | $1,697 | 52 | 335 | -7.4% |
| North Carolina | $752 | $1,755 | 100 | 362 | -7.8% |
| Wisconsin | $748 | $3,578 | 51 | 117 | -8.3% |
| Nebraska | $748 | $2,126 | 26 | 42 | -8.4% |
| Indiana | $747 | $1,910 | 78 | 480 | -8.4% |
| Missouri | $735 | $2,044 | 67 | 244 | -9.9% |
| Idaho | $733 | $1,801 | 27 | 44 | -10.1% |
| Louisiana | $725 | $1,614 | 40 | 114 | -11.1% |
| Oklahoma | $724 | $1,717 | 39 | 146 | -11.3% |
| New Mexico | $722 | $2,632 | 11 | 61 | -11.5% |
| Kentucky | $721 | $2,178 | 48 | 118 | -11.6% |
| Utah | $714 | $1,651 | 37 | 283 | -12.5% |
| Alabama | $705 | $1,850 | 46 | 192 | -13.5% |
| Mississippi | $702 | $1,779 | 46 | 559 | -14.0% |
| Iowa | $698 | $2,555 | 36 | 69 | -14.4% |
| Delaware | $697 | $1,800 | 25 | 383 | -14.6% |
| Arkansas | $689 | $1,232 | 33 | 118 | -15.6% |
| District of Columbia | $478 | $2,446 | 6 | 15 | -41.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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