Q4277

Woundplus membrane or e-graft, per square centimeter

Medicare pricing data for 137 providers across 6 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

Woundplus membrane or e-graft, per square centimeter (HCPCS code Q4277) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,727, but hospitals typically charge $1,963 — a 1.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$345.35

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,727, your out-of-pocket cost would be approximately $345.35. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,727
Average Hospital Charge
$1,963
Markup Ratio
1.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,963.39
Medicare Allowed$1,726.77
Medicare Payment$1,375.79

Hospitals charge 1.1x more than what Medicare allows for this procedure. Medicare actually pays $1,376 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Nebraska$1,738$2,0108552+0.7%
Oklahoma$1,738$1,859184,665+0.7%
Louisiana$1,737$1,8454456+0.6%
Florida$1,733$2,0544113,787+0.4%
Texas$1,713$1,971288,332-0.8%
Michigan$1,682$1,85991,555-2.6%

⚠️ 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

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