10120

Removal of foreign body from tissue, accessed beneath the skin, simple

Medicare pricing data for 22,548 providers across 51 states

🤖AI Overview

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

Removal of foreign body from tissue, accessed beneath the skin, simple (HCPCS code 10120) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $132.33, but hospitals typically charge $369.35 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.47

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $132.33, your out-of-pocket cost would be approximately $26.47. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$132.33
Average Hospital Charge
$369.35
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$369.35
Medicare Allowed$132.33
Medicare Payment$97.33

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $97.33 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$163$3482943+23.1%
New Jersey$153$4179021,719+15.8%
Maryland$149$380535941+12.6%
Hawaii$147$31474109+11.4%
Connecticut$147$374288462+11.4%
New York$147$3501,6034,228+11.3%
Massachusetts$143$418634952+7.9%
Alaska$142$5587497+7.7%
Florida$137$3251,7323,875+3.8%
Delaware$137$344113197+3.3%
Wyoming$136$3134153+2.8%
Illinois$136$4178181,367+2.7%
Pennsylvania$134$2951,2272,420+1.5%
Rhode Island$134$341112168+1.1%
Virginia$133$394668952+0.6%
California$133$3541,9524,409+0.4%
New Hampshire$131$475145209-0.7%
Washington$131$378446615-1.0%
Colorado$131$420422527-1.1%
Michigan$131$3247631,077-1.3%
Oregon$129$416251310-2.3%
Texas$127$4331,1061,542-4.4%
Utah$126$354193241-5.0%
Georgia$126$434580801-5.1%
New Mexico$125$334117194-5.3%
Louisiana$125$445285374-5.5%
Minnesota$123$468312357-7.2%
North Carolina$123$369744997-7.2%
Montana$123$377113132-7.2%
South Carolina$122$387426575-7.8%
Arizona$122$3595971,224-8.0%
Wisconsin$122$577378449-8.1%
Iowa$121$407268343-8.7%
Missouri$120$420368487-9.3%
Indiana$120$355475616-9.3%
Ohio$119$3798271,115-9.8%
Kansas$119$402236310-10.4%
Tennessee$119$387508672-10.4%
Maine$118$3588392-10.5%
Nebraska$118$372144181-10.8%
Oklahoma$118$347288373-11.2%
West Virginia$117$335122156-11.5%
Alabama$117$320307409-11.6%
South Dakota$116$2916891-12.3%
Kentucky$115$367332398-12.9%
Arkansas$114$345210299-13.5%
North Dakota$114$3906175-14.0%
Idaho$112$297135169-15.1%
Mississippi$112$354204276-15.2%
Vermont$111$3245674-16.0%
Nevada$97$290138467-26.7%

⚠️ 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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