Tennessee · 14301

Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm in Tennessee

Tennessee Medicare Avg
$651.93
7% below national avg
National Medicare Avg
$701.94
All states combined
Billed Charge (TN)
$2,574.81
What providers submit
Est. Commercial (TN)
$1,772.41
National avg: $1,980.04
Est. Cash / Self-Pay (TN)
$1,326.36
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

1.0K
Services in TN
166
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Tennessee

Provider Medicare Services
Patel, Purvisha MD $757.04 78
Herrmann, Jennifer M.D. $823.52 23
Miller, Jonathan M.D. $791.97 23

Tennessee Pricing in Context

In Tennessee, CPT code 14301 (Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm) carries an average Medicare payment of $651.93 — 7% below the national benchmark of $701.94. 166 providers across the state submitted claims for this procedure in 2023, performing 1.0K total services. Individual payments in TN ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Tennessee is $2,574.81, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Tennessee sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Skin/Integumentary Surgery procedures, the estimated commercial insurance price in Tennessee lands near $1,772.41, with self-pay cash prices typically around $1,326.36. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm cost in Tennessee?

The average Medicare payment for Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm in Tennessee is $651.93, which is 7% below the national average of $701.94. Providers in TN typically bill $2,574.81 for this procedure.

What does Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm cost with insurance in Tennessee?

With commercial insurance in Tennessee, Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm costs an estimated $1,772.41. Without insurance, the estimated cash price is $1,326.36. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm in Tennessee?

166 providers in Tennessee billed Medicare for Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm in 2023, performing 1.0K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm cheaper in Tennessee than the national average?

Yes — Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm costs 7% below the national average in Tennessee. The state average Medicare payment is $651.93 compared to $701.94 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial