Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less
Medicare pricing data for 1,963 providers across 48 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less (HCPCS code 15240) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $881.88, but hospitals typically charge $2,167 — a 2.5x 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 $881.88, your out-of-pocket cost would be approximately $176.38. 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 2.5x more than what Medicare allows for this procedure. Medicare actually pays $697.83 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $999 | $2,043 | 27 | 104 | +13.3% |
| New Jersey | $971 | $3,037 | 44 | 164 | +10.1% |
| New York | $963 | $2,540 | 110 | 335 | +9.2% |
| Massachusetts | $952 | $2,642 | 59 | 380 | +7.9% |
| California | $945 | $2,138 | 208 | 720 | +7.1% |
| Illinois | $933 | $3,010 | 65 | 279 | +5.8% |
| Connecticut | $932 | $2,160 | 19 | 90 | +5.7% |
| Rhode Island | $922 | $2,739 | 6 | 22 | +4.5% |
| Delaware | $917 | $1,854 | 11 | 46 | +4.0% |
| Colorado | $901 | $2,041 | 42 | 114 | +2.2% |
| Pennsylvania | $899 | $1,974 | 67 | 234 | +2.0% |
| Florida | $898 | $1,917 | 259 | 994 | +1.9% |
| Virginia | $894 | $2,244 | 57 | 228 | +1.4% |
| Washington | $888 | $1,949 | 44 | 166 | +0.7% |
| Texas | $879 | $2,078 | 151 | 621 | -0.4% |
| Arizona | $860 | $2,103 | 57 | 224 | -2.5% |
| Maine | $860 | $1,733 | 6 | 13 | -2.5% |
| Louisiana | $859 | $1,823 | 17 | 107 | -2.6% |
| Georgia | $852 | $2,268 | 65 | 288 | -3.4% |
| Montana | $850 | $1,896 | 7 | 17 | -3.6% |
| Indiana | $848 | $2,262 | 22 | 64 | -3.8% |
| Nevada | $842 | $1,933 | 20 | 78 | -4.5% |
| South Dakota | $839 | $1,879 | 8 | 14 | -4.9% |
| Oregon | $836 | $2,424 | 31 | 80 | -5.2% |
| Michigan | $834 | $2,131 | 30 | 55 | -5.4% |
| Iowa | $834 | $2,583 | 16 | 31 | -5.5% |
| West Virginia | $830 | $1,826 | 9 | 46 | -5.9% |
| Ohio | $825 | $1,831 | 58 | 211 | -6.4% |
| Idaho | $825 | $1,923 | 15 | 42 | -6.5% |
| North Carolina | $824 | $2,046 | 78 | 247 | -6.5% |
| Kansas | $824 | $1,728 | 15 | 50 | -6.5% |
| Missouri | $823 | $1,631 | 33 | 159 | -6.7% |
| Tennessee | $818 | $1,608 | 43 | 167 | -7.3% |
| Oklahoma | $817 | $1,901 | 21 | 102 | -7.4% |
| Arkansas | $814 | $1,800 | 16 | 120 | -7.7% |
| Kentucky | $810 | $1,919 | 24 | 143 | -8.2% |
| South Carolina | $808 | $2,454 | 28 | 231 | -8.4% |
| Alabama | $802 | $1,964 | 34 | 149 | -9.1% |
| Wisconsin | $797 | $4,121 | 25 | 62 | -9.6% |
| New Hampshire | $796 | $2,733 | 10 | 70 | -9.7% |
| Mississippi | $793 | $1,793 | 15 | 49 | -10.1% |
| Hawaii | $789 | $2,108 | 9 | 15 | -10.6% |
| Utah | $775 | $1,684 | 28 | 54 | -12.2% |
| Nebraska | $774 | $2,301 | 16 | 25 | -12.2% |
| North Dakota | $769 | $1,299 | 3 | 21 | -12.8% |
| Minnesota | $753 | $3,073 | 19 | 45 | -14.7% |
| New Mexico | $686 | $3,100 | 9 | 12 | -22.2% |
| District of Columbia | $573 | $2,158 | 9 | 16 | -35.1% |
⚠️ 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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