Acne surgery
Medicare pricing data for 5,313 providers across 44 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Acne surgery (HCPCS code 10040) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $109.54, but hospitals typically charge $233.19 — a 2.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $109.54, your out-of-pocket cost would be approximately $21.91. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $80.23 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Virginia | $125 | $262 | 46 | 354 | +13.7% |
| Idaho | $123 | $249 | 1 | 28 | +11.9% |
| New York | $122 | $269 | 841 | 10,286 | +11.5% |
| District of Columbia | $122 | $170 | 19 | 141 | +11.4% |
| New Jersey | $116 | $228 | 364 | 5,298 | +5.5% |
| Maryland | $115 | $226 | 173 | 1,630 | +5.1% |
| Connecticut | $115 | $278 | 70 | 302 | +5.0% |
| Massachusetts | $113 | $255 | 78 | 479 | +3.0% |
| Colorado | $112 | $262 | 101 | 533 | +2.6% |
| Rhode Island | $112 | $257 | 38 | 193 | +2.1% |
| California | $110 | $262 | 20 | 82 | -0.0% |
| Alabama | $109 | $161 | 7 | 93 | -0.6% |
| Illinois | $109 | $249 | 282 | 2,039 | -0.7% |
| Delaware | $109 | $150 | 17 | 192 | -0.8% |
| Florida | $108 | $212 | 861 | 8,554 | -1.3% |
| Pennsylvania | $108 | $221 | 243 | 1,145 | -1.5% |
| North Carolina | $107 | $189 | 12 | 50 | -2.2% |
| Michigan | $106 | $197 | 240 | 1,286 | -3.3% |
| Texas | $105 | $235 | 520 | 4,278 | -3.8% |
| West Virginia | $104 | $215 | 5 | 75 | -5.5% |
| Louisiana | $102 | $195 | 95 | 974 | -7.1% |
| New Hampshire | $101 | $329 | 45 | 196 | -8.0% |
| Georgia | $101 | $200 | 12 | 88 | -8.2% |
| Oregon | $100 | $191 | 4 | 19 | -8.5% |
| New Mexico | $99 | $196 | 21 | 124 | -9.3% |
| South Carolina | $98 | $268 | 4 | 12 | -10.1% |
| Maine | $98 | $211 | 24 | 87 | -10.3% |
| Oklahoma | $97 | $180 | 74 | 817 | -11.3% |
| Kentucky | $96 | $167 | 85 | 618 | -12.4% |
| Kansas | $95 | $224 | 85 | 346 | -13.1% |
| Ohio | $95 | $227 | 4 | 80 | -13.5% |
| Mississippi | $94 | $182 | 59 | 806 | -13.8% |
| Missouri | $93 | $206 | 84 | 373 | -14.9% |
| Washington | $93 | $244 | 4 | 11 | -15.0% |
| Nebraska | $93 | $253 | 60 | 491 | -15.2% |
| Wisconsin | $92 | $323 | 121 | 449 | -15.7% |
| South Dakota | $92 | $413 | 7 | 53 | -16.2% |
| Iowa | $91 | $229 | 108 | 989 | -17.1% |
| Indiana | $89 | $224 | 128 | 534 | -18.6% |
| Minnesota | $86 | $282 | 181 | 598 | -21.5% |
| North Dakota | $85 | $301 | 5 | 41 | -22.8% |
| Puerto Rico | $82 | $141 | 17 | 223 | -25.4% |
| Vermont | $82 | $215 | 8 | 11 | -25.6% |
| Arkansas | $80 | $142 | 61 | 497 | -27.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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