Cost analysis for CPT Q4186 — Epifix, per square centimeter
Average Medicare Payment
$117.48
2023 data
Total Payments (2023)
$27.0M
Services (2023)
229.0K
Price Change (2019–2023)
-5.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2019 | $124.31 | $20.5M | 164.3K | — |
| 2020 | $126.19 | $22.3M | 175.5K | +1.5% |
| 2021 | $124.18 | $22.4M | 180.2K | -1.6% |
| 2022 | $122.03 | $21.0M | 172.1K | -1.7% |
| 2023 | $117.48 | $27.0M | 229.0K | -3.7% |
The most expensive state pays 1.1x more than the cheapest for this procedure. AZ averages $119.21 vs NE at $105.06.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AZ | $119.21 | $215.5K | 1.8K | 3 |
| VA | $118.84 | $25.6K | 215 | 1 |
| OR | $118.68 | $291.2K | 2.5K | 7 |
| GA | $118.52 | $87.6K | 739 | 1 |
| OH | $118.32 | $586.1K | 5.0K | 7 |
| MN | $118.29 | $3.7M | 31.1K | 10 |
| CA | $118.17 | $8.7M | 73.6K | 27 |
| TX | $118.08 | $52.0K | 440 | 2 |
| FL | $118.07 | $917.2K | 7.8K | 9 |
| NY | $118.06 | $116.4K | 986 | 2 |
| WA | $118.04 | $717.9K | 6.1K | 2 |
| MI | $118.02 | $197.2K | 1.7K | 3 |
| CT | $117.99 | $20.8K | 176 | 1 |
| NC | $117.93 | $338.9K | 2.9K | 4 |
| NH | $117.88 | $228.6K | 1.9K | 3 |
| MO | $117.85 | $3.1M | 25.9K | 6 |
| KY | $117.83 | $2.5M | 21.4K | 4 |
| IL | $117.82 | $2.4M | 20.3K | 11 |
| KS | $117.77 | $992.2K | 8.4K | 4 |
| PA | $117.69 | $95.8K | 814 | 1 |
| NJ | $117.42 | $46.7K | 398 | 1 |
| IN | $117.40 | $160.8K | 1.4K | 2 |
| NV | $117.38 | $50.5K | 430 | 2 |
| AL | $117.36 | $733.3K | 6.2K | 1 |
| MA | $116.97 | $396.1K | 3.4K | 5 |
| LA | $114.50 | $76.3K | 666 | 1 |
| CO | $105.06 | $165.9K | 1.6K | 1 |
| NE | $105.06 | $123.4K | 1.2K | 1 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Sarah Hull | Nurse Practitioner | MO | $2.5M | 21.2K | $117.84 |
| Ian Duncan | Orthopedic Surgery | CA | $1.7M | 14.6K | $117.13 |
| Andrew Jun | Otolaryngology | IL | $1.7M | 14.1K | $117.81 |
| Louis Heuser | Preventive Medicine | KY | $1.6M | 13.4K | $117.90 |
| Phillip Myers | Physician Assistant | CA | $1.3M | 10.7K | $119.03 |
| Nicole Siddons | Nurse Practitioner | MN | $947.7K | 8.0K | $118.51 |
| Judy Pauletich | Nurse Practitioner | MN | $928.9K | 7.9K | $118.28 |
| Kazi Rahman | Podiatry | CA | $905.1K | 7.6K | $118.42 |
| J. Duke | General Surgery | AL | $733.3K | 6.2K | $117.36 |
| Rebecca Haugaard | Nurse Practitioner | KS | $695.7K | 5.9K | $117.92 |
| Joshua Day | Physician Assistant | CA | $671.6K | 5.6K | $119.01 |
| Maureen Mooney | Micrographic Dermatologic Surgery | WA | $659.6K | 5.6K | $118.07 |
| Leo Fong | General Surgery | CA | $654.5K | 5.6K | $117.69 |
| Brandon Hawkins | Podiatry | CA | $573.4K | 4.9K | $118.04 |
| Matthew Feltner | Podiatry | KY | $572.4K | 4.9K | $117.71 |
| Tiffany Radke | Nurse Practitioner | MN | $442.7K | 3.8K | $118.02 |
| Melissa Hill | Nurse Practitioner | MN | $434.8K | 3.7K | $118.71 |
| Ann Marie Equio | Nurse Practitioner | MN | $394.3K | 3.3K | $118.29 |
| Martin Paukert | Plastic and Reconstructive Surgery | CA | $392.2K | 3.3K | $118.13 |
| Walter Nahm | Dermatology | CA | $377.2K | 3.2K | $118.52 |
Based on the data, CPT Q4186 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 5.5% since 2019. 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.