Q4204

Xwrap, per square centimeter

Medicare pricing data for 97 providers across 7 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

Xwrap, per square centimeter (HCPCS code Q4204) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,420, but hospitals typically charge $1,455 — a 1.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$284.08

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,420, your out-of-pocket cost would be approximately $284.08. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,420
Average Hospital Charge
$1,455
Markup Ratio
1.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,455.07
Medicare Allowed$1,420.38
Medicare Payment$1,131.55

Hospitals charge 1.0x more than what Medicare allows for this procedure. Medicare actually pays $1,132 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Colorado$2,093$2,12951,267+47.4%
Texas$2,007$2,056102,793+41.3%
Georgia$1,352$1,38013,730-4.8%
California$1,340$1,374135,871-5.6%
Utah$1,269$1,295253,837-10.6%
Nevada$1,085$1,124182,355-23.6%
Idaho$1,053$1,09091,216-25.8%

⚠️ 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