Cost analysis for CPT Q4205 — Membrane graft or membrane wrap, per square centimeter
Average Medicare Payment
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Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 1.0x more than the cheapest for this procedure. KS averages $1163.46 vs MS at $1132.28.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| KS | $1163.46 | $1.7M | 1.5K | 2 |
| NY | $1163.46 | $3.2M | 2.7K | 1 |
| LA | $1163.46 | $260.6K | 224 | 1 |
| IL | $1162.96 | $1.2M | 1.0K | 1 |
| NJ | $1160.71 | $3.5M | 3.0K | 3 |
| AZ | $1160.00 | $9.5M | 8.2K | 7 |
| KY | $1159.31 | $1.7M | 1.4K | 1 |
| TX | $1156.95 | $22.1M | 19.1K | 6 |
| FL | $1149.88 | $19.6M | 17.0K | 12 |
| GA | $1149.28 | $4.5M | 3.9K | 1 |
| CA | $1147.82 | $24.0M | 20.9K | 9 |
| WA | $1147.66 | $4.6M | 4.0K | 4 |
| NV | $1133.86 | $17.8M | 15.7K | 3 |
| MS | $1132.28 | $10.2M | 9.0K | 12 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Marizel Yukee | Nurse Practitioner | NV | $12.2M | 10.7K | $1149.44 |
| Samuel Jurca | Family Practice | TX | $11.5M | 9.9K | $1163.46 |
| Aaron Jeng | Internal Medicine | CA | $8.4M | 7.2K | $1163.46 |
| Ivory Christen | Nurse Practitioner | FL | $6.9M | 6.0K | $1160.26 |
| Babak Baharloo | Podiatry | TX | $5.1M | 4.4K | $1163.13 |
| Ali Saberi | Family Practice | FL | $5.1M | 4.4K | $1154.66 |
| Som Kohanzadeh | Plastic and Reconstructive Surgery | CA | $4.9M | 4.2K | $1163.46 |
| Frank Curvin | Family Practice | GA | $4.5M | 3.9K | $1149.28 |
| Ming-Wei Wu | General Surgery | NV | $4.1M | 3.8K | $1102.16 |
| Carlos Reyes Chouza | Nurse Practitioner | FL | $3.8M | 3.4K | $1126.00 |
| Collin Perri | Physician Assistant | WA | $3.7M | 3.3K | $1145.62 |
| Joseph Sidaoui | General Surgery | NY | $3.2M | 2.7K | $1163.46 |
| Thai Phou | Physician Assistant | CA | $2.5M | 2.3K | $1093.28 |
| Chih-Tao Hou | Nurse Practitioner | CA | $2.4M | 2.2K | $1088.05 |
| Oran Schachter | Podiatry | CA | $2.2M | 1.9K | $1163.46 |
| Joshua Holland | Family Practice | AZ | $2.1M | 1.8K | $1163.47 |
| Migaela Reedy | Nurse Practitioner | AZ | $2.0M | 1.7K | $1161.74 |
| Ana Cerean | Nurse Practitioner | TX | $1.9M | 1.7K | $1163.45 |
| Felipe Ruiz | Podiatry | CA | $1.9M | 1.7K | $1163.46 |
| Georgiet Afriyie | Nurse Practitioner | NJ | $1.8M | 1.6K | $1161.82 |
Based on the data, CPT Q4205 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
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.