Cost analysis for CPT 14040 — Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
Average Medicare Payment
$558.21
2023 data
Total Payments (2023)
$23.1M
Services (2023)
40.2K
Price Change (2014–2023)
+4.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $534.39 | $30.5M | 56.2K | — |
| 2015 | $533.56 | $29.4M | 53.9K | -0.2% |
| 2016 | $536.75 | $29.8M | 54.3K | +0.6% |
| 2017 | $537.37 | $28.7M | 52.2K | +0.1% |
| 2018 | $542.61 | $27.7M | 49.7K | +1.0% |
| 2019 | $547.80 | $27.7M | 49.3K | +1.0% |
| 2020 | $556.40 | $22.8M | 39.9K | +1.6% |
| 2021 | $564.14 | $23.6M | 40.6K | +1.4% |
| 2022 | $561.69 | $22.9M | 39.8K | -0.4% |
| 2023 | $558.21 | $23.1M | 40.2K | -0.6% |
The most expensive state pays 1.6x more than the cheapest for this procedure. NY averages $658.23 vs AL at $422.80.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NY | $658.23 | $1.9M | 2.9K | 69 |
| NJ | $655.94 | $1.6M | 2.5K | 37 |
| MA | $615.56 | $488.8K | 794 | 25 |
| CO | $608.56 | $184.4K | 303 | 9 |
| CA | $607.23 | $4.1M | 6.8K | 178 |
| IL | $597.27 | $711.9K | 1.2K | 38 |
| NV | $592.70 | $112.6K | 190 | 6 |
| CT | $581.13 | $149.4K | 257 | 10 |
| PA | $580.25 | $1.2M | 2.0K | 43 |
| MT | $577.57 | $179.6K | 311 | 4 |
| FL | $576.49 | $3.5M | 6.1K | 163 |
| MI | $568.14 | $165.9K | 292 | 15 |
| VA | $559.00 | $371.7K | 665 | 26 |
| NH | $557.60 | $63.0K | 113 | 6 |
| AZ | $556.48 | $1.0M | 1.8K | 48 |
| IN | $544.41 | $448.6K | 824 | 25 |
| NC | $543.51 | $672.3K | 1.2K | 40 |
| GA | $541.48 | $676.3K | 1.2K | 35 |
| MN | $540.49 | $109.7K | 203 | 7 |
| WA | $538.51 | $500.8K | 930 | 35 |
| DE | $536.81 | $364.5K | 679 | 13 |
| KS | $536.66 | $131.5K | 245 | 10 |
| MO | $535.21 | $265.5K | 496 | 19 |
| TX | $533.83 | $1.2M | 2.2K | 55 |
| MD | $533.53 | $497.8K | 933 | 24 |
| OH | $532.80 | $338.3K | 635 | 26 |
| OR | $522.95 | $83.1K | 159 | 7 |
| MS | $520.32 | $137.9K | 265 | 8 |
| IA | $518.79 | $102.2K | 197 | 6 |
| SD | $513.18 | $88.8K | 173 | 4 |
| SC | $508.95 | $291.6K | 573 | 18 |
| OK | $500.45 | $217.7K | 435 | 10 |
| WI | $492.03 | $90.0K | 183 | 10 |
| NM | $491.75 | $84.6K | 172 | 6 |
| UT | $469.12 | $137.5K | 293 | 14 |
| KY | $462.21 | $144.2K | 312 | 11 |
| TN | $461.95 | $265.2K | 574 | 26 |
| AR | $438.80 | $92.6K | 211 | 9 |
| AL | $422.80 | $144.6K | 342 | 13 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Sabatino Ciatti | Micrographic Dermatologic Surgery | NJ | $379.1K | 561 | $675.67 |
| Khawaja Hassan | Plastic and Reconstructive Surgery | NY | $287.6K | 398 | $722.55 |
| David Singer | Plastic and Reconstructive Surgery | PA | $260.6K | 455 | $572.69 |
| David Kiken | Dermatology | NJ | $233.3K | 342 | $682.10 |
| David Shriner | Dermatology | TX | $208.9K | 399 | $523.53 |
| William Tutrone | Micrographic Dermatologic Surgery | NY | $186.7K | 260 | $717.91 |
| Santiago Centurion | Dermatology | CA | $181.0K | 277 | $653.52 |
| Tim Ioannides | Dermatology | FL | $174.8K | 298 | $586.71 |
| Carlos Paz | Dermatology | CA | $167.6K | 281 | $596.52 |
| John Chung | Dermatology | GA | $166.1K | 304 | $546.31 |
| Jens Thiele | Dermatology | CA | $160.3K | 254 | $631.23 |
| Christina Steinmetz-Rodriguez | Dermatology | TX | $159.2K | 287 | $554.86 |
| Robert Sollitto | Micrographic Dermatologic Surgery | NJ | $157.5K | 252 | $624.96 |
| Eric Maranda | Dermatology | MT | $155.7K | 270 | $576.83 |
| David Kelly | Plastic and Reconstructive Surgery | AZ | $153.1K | 260 | $588.68 |
| Sherif Ammar | Otolaryngology | CA | $146.1K | 250 | $584.59 |
| Daniel Shurman | Dermatology | PA | $143.9K | 250 | $575.60 |
| Harjot Maan | Micrographic Dermatologic Surgery | CA | $142.6K | 282 | $505.76 |
| Monika Srivastava | Dermatology | FL | $117.9K | 189 | $623.61 |
| Lawrence Chang | Plastic and Reconstructive Surgery | DE | $109.0K | 179 | $608.97 |
Based on the data, CPT 14040 shows a 1.6x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 4.5% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.