How much does Medicare pay for HCPCS Q4250?

Medicare allowed an average of $2301.94 per service and paid $1833.99 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2449.90, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code Q4250?

Amnioamp-mp, per square centimeter. It was billed 36,657 times to 813 Medicare beneficiaries by 29 providers in 2024.

Does Q4250 pay differently in an office than a hospital?

Yes. The allowed amount averaged $2319.51 in an office setting and $2141.34 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 Q4250 most?

Nurse Practitioner, with 15,523 services from 14 clinicians. Next are General Surgery, Physician Assistant, Family Practice.

HCPCS Q4250

Amnioamp-mp, per square centimeter

$2301.94Medicare-allowed amount per service, averaged across 36,657 services

Providers submitted

$2449.90

Asking price, not received

Medicare allowed

$2301.94

The fee schedule figure

Medicare paid

$1833.99

Balance is patient coinsurance

Office pays differently to hospital

Office / non-facility: $2319.51
Hospital / facility: $2141.34

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. 33,043 services were billed in an office setting and 3,614 in a facility.

Services: 36,657
Beneficiaries: 813
Providers billing it: 29
Total allowed: $84,382,215

What Medicare pays for HCPCS Q4250

Across 36,657 services billed by 29 providers to 813 beneficiaries, Medicare allowed an average of $2301.94 per service. That is 45.1 services per beneficiary, so this is a code patients typically receive more than once. 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 Q4250

Specialty	Services	Beneficiaries	Avg allowed	Providers
Nurse Practitioner	15,523	323	$2275.06	14
General Surgery	7,145	204	$2197.91	2
Physician Assistant	5,349	146	$2254.09	5
Family Practice	3,812	48	$2352.10	3
Podiatry	3,132	64	$2375.70	3
General Practice	1,200	12	$2888.04	1
Dermatology	496	16	$2888.53	1

Q4250 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
California	17,220	$2191.86	$1746.28	10
Texas	8,698	$2498.58	$1990.66	7
Florida	5,819	$2524.82	$2011.58	5
Nevada	2,568	$2044.83	$1628.96	3
Utah	1,189	$1682.48	$1340.51	2
Colorado	768	$2876.64	$2291.96	1
Missouri	395	$1906.64	$1519.12	1

Related codes

Q4205Membrane graft or membrane wrap$1301.16
Q4271Complete ft, per square centimeter$1655.29
Q4275Esano aca, per square centimeter$2621.95
Q4262Dual layer impax membrane$1135.62
Q4276Orion, per square centimeter$1335.32
Q4238Derm-maxx, per square centimeter$1119.08
Q4282Cygnus dual, per square centimeter$773.66
Q4236Carepatch, per square centimeter$758.90
Q4277Woundplus membrane or e-graft$1738.38
Q4299Amnicore pro+$2369.06
Q4239Amnio-maxx or amnio-maxx lite$2395.07
Q4278Epieffect, per square centimeter$409.48

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.