Nevada · Q4159

Affinity, Per Square Centimeter in Nevada

Nevada Medicare Avg
$318.80
2% below national avg
National Medicare Avg
$323.80
All states combined
Billed Charge (NV)
$837.15
What providers submit
Est. Commercial (NV)
$960.30
National avg: $910.54
Est. Cash / Self-Pay (NV)
$530.31
Typical self-pay discount

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

988
Services in NV
10
Providers
N/A
Min Payment
N/A
Max Payment

Nevada Pricing in Context

In Nevada, CPT code Q4159 (Affinity, Per Square Centimeter) carries an average Medicare payment of $318.80 — 2% below the national benchmark of $323.80. 10 providers across the state submitted claims for this procedure in 2023, performing 988 total services. Individual payments in NV 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 Nevada is $837.15, 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 Nevada 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 Temporary Codes procedures, the estimated commercial insurance price in Nevada lands near $960.30, with self-pay cash prices typically around $530.31. 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 Affinity, Per Square Centimeter cost in Nevada?

The average Medicare payment for Affinity, Per Square Centimeter in Nevada is $318.80, which is 2% below the national average of $323.80. Providers in NV typically bill $837.15 for this procedure.

What does Affinity, Per Square Centimeter cost with insurance in Nevada?

With commercial insurance in Nevada, Affinity, Per Square Centimeter costs an estimated $960.30. Without insurance, the estimated cash price is $530.31. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Affinity, Per Square Centimeter in Nevada?

10 providers in Nevada billed Medicare for Affinity, Per Square Centimeter in 2023, performing 988 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Affinity, Per Square Centimeter cheaper in Nevada than the national average?

Yes — Affinity, Per Square Centimeter costs 2% below the national average in Nevada. The state average Medicare payment is $318.80 compared to $323.80 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