14061

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm

Medicare pricing data for 4,538 providers across 50 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 eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS code 14061) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $902.05, but hospitals typically charge $2,561 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$180.41

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $902.05, your out-of-pocket cost would be approximately $180.41. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$902.05
Average Hospital Charge
$2,561
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,560.88
Medicare Allowed$902.05
Medicare Payment$713.06

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $713.06 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$1,095$3,311417+21.4%
Hawaii$1,048$2,192950+16.2%
New Jersey$1,022$3,545119986+13.3%
New York$1,011$3,5122471,648+12.1%
Massachusetts$998$3,09096838+10.6%
Connecticut$987$2,58442191+9.4%
California$986$3,0824742,912+9.3%
Rhode Island$974$2,22014167+8.0%
Colorado$955$2,38388660+5.9%
Nevada$951$1,86930295+5.4%
New Hampshire$945$3,58622231+4.7%
Illinois$935$2,993150758+3.7%
Pennsylvania$928$2,0931941,453+2.9%
Montana$923$2,12119130+2.4%
Florida$916$2,3664843,470+1.6%
Washington$915$2,225126781+1.4%
New Mexico$914$2,593593+1.3%
Virginia$909$2,3591301,174+0.8%
North Carolina$908$2,412137991+0.7%
Maryland$902$2,07893723+0.0%
Michigan$896$2,172105529-0.6%
Minnesota$891$3,28881399-1.3%
Oregon$890$2,63364222-1.3%
Ohio$878$2,145132944-2.7%
Arizona$877$2,2601461,469-2.8%
Idaho$872$2,03530154-3.3%
Louisiana$871$2,09843204-3.5%
Georgia$866$2,4961301,008-4.0%
Tennessee$865$1,915112963-4.1%
Kentucky$865$1,97555525-4.2%
Wisconsin$861$4,83583607-4.6%
Maine$860$1,771867-4.6%
Oklahoma$859$1,97642360-4.8%
West Virginia$858$2,05018174-4.8%
South Carolina$856$2,79080589-5.1%
South Dakota$854$1,42226281-5.4%
Indiana$853$1,63782933-5.4%
Utah$851$1,91050285-5.7%
Missouri$850$2,36091680-5.8%
Texas$844$2,8102972,397-6.4%
Alabama$820$2,27174763-9.2%
Kansas$814$2,30361523-9.7%
Delaware$812$1,97025286-10.0%
Iowa$811$3,78349238-10.0%
Nebraska$802$2,67538171-11.1%
Vermont$796$1,134512-11.7%
Wyoming$789$2,355642-12.6%
North Dakota$788$1,144854-12.7%
Arkansas$767$1,77744295-15.0%
Mississippi$762$2,47735955-15.5%

⚠️ 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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