How much does Medicare pay for CPT 15100?

Medicare allowed an average of $636.52 per service and paid $505.75 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3179.04, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 15100?

Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less. It was billed 1,665 times to 1,567 Medicare beneficiaries by 92 providers in 2024.

Does 15100 pay differently in an office than a hospital?

Yes. The allowed amount averaged $888.76 in an office setting and $603.25 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 15100 most?

Plastic and Reconstructive Surgery, with 635 services from 36 clinicians. Next are General Surgery, Otolaryngology, Ambulatory Surgical Center.

CPT 15100

Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less

$636.52Medicare-allowed amount per service, averaged across 1,665 services

Providers submitted

$3179.04

Asking price, not received

Medicare allowed

$636.52

The fee schedule figure

Medicare paid

$505.75

Balance is patient coinsurance

Providers submitted an average of $3179.04 for this code and Medicare allowed $636.52 — 5.0× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $505.75 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $888.76
Hospital / facility: $603.25

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 194 services were billed in an office setting and 1,471 in a facility.

Services: 1,665
Beneficiaries: 1,567
Providers billing it: 92
Total allowed: $1,059,806

What Medicare pays for CPT 15100

Across 1,665 services billed by 92 providers to 1,567 beneficiaries, Medicare allowed an average of $636.52 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 15100

Specialty	Services	Beneficiaries	Avg allowed	Providers
Plastic and Reconstructive Surgery	635	594	$656.46	36
General Surgery	459	425	$641.18	23
Otolaryngology	207	201	$376.38	14
Ambulatory Surgical Center	136	129	$789.04	9
Dermatology	116	109	$853.77	4
Critical Care (Intensivists)	39	37	$675.13	1
Surgical Oncology	33	32	$733.10	2
Maxillofacial Surgery	29	29	$347.15	2
Hand Surgery	11	11	$345.95	1

15100 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	315	$642.09	$489.39	13
Georgia	210	$674.52	$548.80	10
California	167	$621.73	$450.46	11
Texas	113	$618.37	$495.69	6
Ohio	87	$554.11	$448.57	6
New York	81	$795.28	$569.54	4
Maryland	63	$773.38	$581.13	2
Mississippi	62	$661.88	$586.31	4
Pennsylvania	61	$595.58	$460.53	4
Tennessee	59	$526.22	$475.25	4
Oklahoma	54	$529.54	$456.00	3
Massachusetts	48	$807.60	$613.02	2
Kansas	47	$467.21	$413.40	3
Arkansas	40	$717.83	$641.74	2
Delaware	40	$713.19	$558.13	3
New Jersey	35	$669.26	$480.50	2
Nebraska	32	$520.74	$463.15	2
Alabama	32	$484.03	$424.26	2
Illinois	25	$550.28	$407.79	2
South Carolina	17	$612.09	$477.72	1
Oregon	15	$656.72	$510.82	1
Virginia	14	$685.78	$560.70	1
New Hampshire	13	$433.74	$343.69	1
Indiana	12	$603.34	$506.64	1
Colorado	12	$604.72	$476.10	1
North Carolina	11	$595.03	$506.16	1

Related codes

15101Partial thickness self skin graft of trunk$105.68
15120Partial thickness self skin graft to face$780.08

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.