California · 15275

Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around Eyes, Genitals, Hands, Feet, Fingers, Or Toes, 25.0 Sq Cm Or Less Of Wound 100.0 Sq Cm Or Less in California

California Medicare Avg
$115.60
16% above national avg
National Medicare Avg
$99.33
All states combined
Billed Charge (CA)
$465.92
What providers submit
Est. Commercial (CA)
$349.59
National avg: $281.04
Est. Cash / Self-Pay (CA)
$237.37
Typical self-pay discount

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

23.1K
Services in CA
1.3K
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in California

Provider Medicare Services
Lee, Catherine M.D. $109.51 877
Hawkins, Brandon DPM $134.20 729
Michail, James M.D. $130.98 456
Ruiz, Felipe D.P.M. $128.19 418
Nahm, Walter M.D., PHD. $140.70 411
Rahman, Kazi DPM $128.10 348
Pasaboc, Liviu DPM $133.69 275
O'carroll, Brian DPM $133.74 274
Azad, Jack M.D. $115.14 250
Park, Richard M.D. $136.46 240
Lee, Johnson M.D. $130.15 239
Clark, Steven DPM $132.01 237
Jeng, Aaron MD, MPH $140.09 224
Feramisco, Jamison MD, PHD $99.10 216
Hamilton, Julie MD $74.00 186
Ruiz, Felipe D.P.M. $60.87 176
Tran, Mark M.D. $124.13 169
Travis, Eric DPM $139.65 166
Paukert, Martin MD $132.31 162
Gautam, Ravindra M.D. $124.71 162
Ghasri, Peyman M.D. $131.15 161
Bhakta, Gautam MD $138.29 160
Bain, Michael MD $76.95 139
Kaplan, David DPM $152.48 137
Mehrany, Khosrow M.D. $140.22 135

California Pricing in Context

In California, CPT code 15275 (Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around Eyes, Genitals, Hands, Feet, Fingers, Or Toes, 25.0 Sq Cm Or Less Of Wound 100.0 Sq Cm Or Less) carries an average Medicare payment of $115.60 — 16% above the national benchmark of $99.33. 1.3K providers across the state submitted claims for this procedure in 2023, performing 23.1K total services. Individual payments in CA 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 California is $465.92, 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 California sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Skin/Integumentary Surgery procedures, the estimated commercial insurance price in California lands near $349.59, with self-pay cash prices typically around $237.37. 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 Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around Eyes, Genitals, Hands, Feet, Fingers, Or Toes, 25.0 Sq Cm Or Less Of Wound 100.0 Sq Cm Or Less cost in California?

The average Medicare payment for Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around Eyes, Genitals, Hands, Feet, Fingers, Or Toes, 25.0 Sq Cm Or Less Of Wound 100.0 Sq Cm Or Less in California is $115.60, which is 16% above the national average of $99.33. Providers in CA typically bill $465.92 for this procedure.

What does Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around Eyes, Genitals, Hands, Feet, Fingers, Or Toes, 25.0 Sq Cm Or Less Of Wound 100.0 Sq Cm Or Less cost with insurance in California?

With commercial insurance in California, Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around Eyes, Genitals, Hands, Feet, Fingers, Or Toes, 25.0 Sq Cm Or Less Of Wound 100.0 Sq Cm Or Less costs an estimated $349.59. Without insurance, the estimated cash price is $237.37. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around Eyes, Genitals, Hands, Feet, Fingers, Or Toes, 25.0 Sq Cm Or Less Of Wound 100.0 Sq Cm Or Less in California?

1.3K providers in California billed Medicare for Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around Eyes, Genitals, Hands, Feet, Fingers, Or Toes, 25.0 Sq Cm Or Less Of Wound 100.0 Sq Cm Or Less in 2023, performing 23.1K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around Eyes, Genitals, Hands, Feet, Fingers, Or Toes, 25.0 Sq Cm Or Less Of Wound 100.0 Sq Cm Or Less cheaper in California than the national average?

No — Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around Eyes, Genitals, Hands, Feet, Fingers, Or Toes, 25.0 Sq Cm Or Less Of Wound 100.0 Sq Cm Or Less costs 16% above the national average in California. The state average Medicare payment is $115.60 compared to $99.33 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