Q4276

Orion, per square centimeter

Medicare pricing data for 106 providers across 8 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

Orion, per square centimeter (HCPCS code Q4276) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,408, but hospitals typically charge $1,578 — a 1.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$281.53

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,408, your out-of-pocket cost would be approximately $281.53. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,408
Average Hospital Charge
$1,578
Markup Ratio
1.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,578.15
Medicare Allowed$1,407.67
Medicare Payment$1,121.56

Hospitals charge 1.1x more than what Medicare allows for this procedure. Medicare actually pays $1,122 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Illinois$1,541$1,6764834+9.5%
District of Columbia$1,470$2,00013,584+4.4%
Florida$1,450$1,6913614,392+3.0%
Arizona$1,427$1,45058,582+1.4%
Oklahoma$1,421$1,48634,883+1.0%
Colorado$1,398$1,515814,546-0.7%
New Jersey$1,393$1,45541,598-1.0%
Texas$1,243$1,543195,807-11.7%

⚠️ 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