11044

Removal of bone, 20.0 sq cm or less

Medicare pricing data for 15,259 providers across 52 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 bone, 20.0 sq cm or less (HCPCS code 11044) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $257.28, but hospitals typically charge $746.87 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$51.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $257.28, your out-of-pocket cost would be approximately $51.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$257.28
Average Hospital Charge
$746.87
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$746.87
Medicare Allowed$257.28
Medicare Payment$204.38

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $204.38 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$299$6343263,376+16.1%
New York$290$8248616,159+12.8%
California$286$8541,40918,420+11.0%
Alaska$273$2,5571935+6.0%
Washington$269$7922471,075+4.5%
New Mexico$269$59993525+4.4%
Mississippi$263$4522383,921+2.3%
Rhode Island$262$73157150+1.9%
New Jersey$262$1,1305162,954+1.8%
Delaware$262$76672302+1.8%
Florida$257$6561,42816,978+0.1%
Arizona$257$5713091,486-0.2%
Connecticut$257$8831731,166-0.2%
Texas$257$7091,2179,118-0.3%
Pennsylvania$254$7407062,606-1.5%
Hawaii$253$68143141-1.5%
District of Columbia$253$78154591-1.5%
Virginia$251$7603571,447-2.3%
West Virginia$251$78685601-2.3%
Illinois$247$9005722,078-4.1%
Colorado$244$731240851-5.1%
Oregon$244$826133377-5.1%
Utah$243$750113473-5.5%
Massachusetts$243$9084141,664-5.6%
Wyoming$243$1,5651425-5.6%
Alabama$242$5642681,739-5.8%
Nevada$240$741123392-6.6%
Georgia$239$6264523,237-7.1%
Montana$238$63649227-7.7%
Maine$232$73047103-9.8%
Ohio$232$7025812,058-9.9%
Louisiana$230$6593171,868-10.8%
Oklahoma$228$727225997-11.5%
Michigan$223$7703731,046-13.2%
Wisconsin$221$1,356240647-14.0%
Idaho$221$70167187-14.2%
Tennessee$220$7564121,731-14.4%
North Carolina$219$5854893,399-14.9%
New Hampshire$218$1,07763193-15.1%
South Carolina$216$7063081,471-16.2%
Indiana$216$8932781,109-16.2%
North Dakota$214$1,0994783-16.8%
Minnesota$214$941207648-16.8%
Kentucky$210$686219948-18.3%
Missouri$206$868233710-19.9%
Iowa$203$915103308-20.9%
Arkansas$200$684151540-22.1%
Nebraska$195$83367187-24.1%
Kansas$194$761136545-24.7%
South Dakota$193$74442131-24.8%
Puerto Rico$183$2311926-28.9%
Vermont$179$1,0742131-30.4%

⚠️ 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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