Removal of inflamed or infected skin, up to 10% of body surface
Medicare pricing data for 2,640 providers across 46 states
Prices vary significantly by location — from $21 in Maine to $65 in Alaska. Where you get this procedure matters more than almost any other factor. 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 inflamed or infected skin, up to 10% of body surface (HCPCS code 11000) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $49.88, but hospitals typically charge $126.17 — a 2.5x 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 $49.88, your out-of-pocket cost would be approximately $9.98. 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 2.5x more than what Medicare allows for this procedure. Medicare actually pays $38.01 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $65 | $188 | 8 | 39 | +29.6% |
| Massachusetts | $61 | $126 | 29 | 189 | +23.3% |
| Hawaii | $61 | $102 | 8 | 61 | +21.3% |
| Connecticut | $60 | $270 | 12 | 132 | +20.8% |
| Oklahoma | $60 | $135 | 22 | 615 | +20.6% |
| New York | $59 | $122 | 197 | 4,274 | +18.3% |
| Minnesota | $56 | $174 | 21 | 288 | +12.9% |
| Maryland | $55 | $90 | 56 | 259 | +10.0% |
| Puerto Rico | $53 | $112 | 12 | 60 | +6.2% |
| Pennsylvania | $52 | $148 | 63 | 324 | +4.8% |
| Kansas | $52 | $118 | 9 | 40 | +4.1% |
| California | $52 | $104 | 452 | 14,592 | +4.0% |
| West Virginia | $52 | $110 | 5 | 256 | +3.9% |
| Alabama | $52 | $65 | 30 | 1,482 | +3.6% |
| Florida | $52 | $127 | 398 | 12,748 | +3.5% |
| Arkansas | $51 | $98 | 17 | 100 | +3.2% |
| Mississippi | $51 | $78 | 16 | 221 | +2.8% |
| Nebraska | $51 | $120 | 15 | 30 | +2.7% |
| Delaware | $51 | $153 | 9 | 13 | +2.2% |
| Illinois | $50 | $94 | 91 | 2,966 | +1.2% |
| Kentucky | $50 | $98 | 5 | 75 | +0.9% |
| Michigan | $50 | $82 | 84 | 1,282 | +0.3% |
| New Hampshire | $50 | $170 | 9 | 28 | +0.1% |
| Rhode Island | $49 | $185 | 11 | 23 | -0.9% |
| Montana | $49 | $97 | 7 | 39 | -1.6% |
| Washington | $49 | $231 | 35 | 158 | -1.9% |
| South Carolina | $49 | $126 | 49 | 481 | -2.2% |
| Louisiana | $49 | $80 | 29 | 547 | -2.3% |
| North Carolina | $49 | $127 | 68 | 228 | -2.7% |
| Oregon | $48 | $129 | 13 | 21 | -2.9% |
| Texas | $47 | $188 | 201 | 6,105 | -5.8% |
| Virginia | $47 | $115 | 50 | 238 | -6.3% |
| Utah | $45 | $130 | 41 | 503 | -9.3% |
| Missouri | $45 | $128 | 18 | 72 | -9.3% |
| Arizona | $44 | $175 | 61 | 2,776 | -11.7% |
| Ohio | $44 | $93 | 14 | 117 | -12.5% |
| Indiana | $44 | $106 | 18 | 259 | -12.7% |
| Nevada | $42 | $132 | 35 | 2,245 | -16.5% |
| New Jersey | $42 | $91 | 80 | 1,842 | -16.5% |
| Idaho | $41 | $128 | 11 | 285 | -16.8% |
| Wisconsin | $41 | $173 | 12 | 134 | -17.3% |
| Georgia | $40 | $97 | 52 | 1,141 | -19.2% |
| Tennessee | $39 | $103 | 57 | 604 | -21.5% |
| Colorado | $39 | $301 | 27 | 793 | -22.3% |
| New Mexico | $38 | $117 | 9 | 37 | -24.7% |
| Maine | $21 | $107 | 8 | 34 | -57.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber