Q4188

Amnioarmor, per square centimeter

Medicare pricing data for 194 providers across 15 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

Amnioarmor, per square centimeter (HCPCS code Q4188) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $938.79, but hospitals typically charge $999.85 — a 1.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$187.76

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $938.79, your out-of-pocket cost would be approximately $187.76. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$938.79
Average Hospital Charge
$999.85
Markup Ratio
1.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$999.85
Medicare Allowed$938.79
Medicare Payment$747.88

Hospitals charge 1.1x more than what Medicare allows for this procedure. Medicare actually pays $747.88 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$985$1,037151,828+4.9%
Kentucky$956$1,24221,106+1.8%
Arizona$953$96931,312+1.5%
Oklahoma$946$9893576+0.7%
California$943$9598857,967+0.5%
Utah$941$971111,161+0.3%
Nevada$935$95092,925-0.4%
West Virginia$935$95013,982-0.4%
Wisconsin$935$9501968-0.4%
New York$934$95023,164-0.5%
Texas$933$1,152111,765-0.6%
Florida$927$1,341105,959-1.3%
Virginia$925$9502504-1.4%
Alabama$852$1,35321,564-9.3%
Louisiana$848$896161,427-9.6%

⚠️ 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