Removal of muscle and/or tissue, each additional 20.0 sq cm or less
Medicare pricing data for 11,829 providers across 51 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
Removal of muscle and/or tissue, each additional 20.0 sq cm or less (HCPCS code 11046) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $60.70, but hospitals typically charge $208.14 — a 3.4x 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 $60.70, your out-of-pocket cost would be approximately $12.14. 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 3.4x more than what Medicare allows for this procedure. Medicare actually pays $48.39 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $71 | $497 | 25 | 319 | +16.5% |
| New York | $68 | $274 | 491 | 17,599 | +12.6% |
| California | $66 | $262 | 1,116 | 87,451 | +8.0% |
| Connecticut | $65 | $219 | 125 | 3,484 | +6.3% |
| Maryland | $64 | $179 | 261 | 7,434 | +5.0% |
| Illinois | $64 | $195 | 452 | 6,737 | +4.7% |
| District of Columbia | $63 | $191 | 53 | 1,972 | +4.3% |
| Oregon | $62 | $177 | 91 | 2,713 | +2.3% |
| Florida | $61 | $160 | 1,165 | 50,965 | +0.5% |
| Colorado | $60 | $152 | 156 | 2,336 | -1.1% |
| New Jersey | $60 | $342 | 422 | 7,121 | -1.1% |
| Delaware | $59 | $163 | 42 | 394 | -3.0% |
| Hawaii | $58 | $125 | 41 | 545 | -3.7% |
| Massachusetts | $58 | $221 | 276 | 4,979 | -3.8% |
| Georgia | $58 | $181 | 319 | 6,194 | -3.8% |
| Arizona | $58 | $160 | 247 | 3,318 | -4.1% |
| Pennsylvania | $58 | $198 | 564 | 6,836 | -4.4% |
| New Mexico | $58 | $169 | 76 | 1,458 | -4.5% |
| Rhode Island | $58 | $161 | 34 | 286 | -4.5% |
| Washington | $58 | $179 | 198 | 4,027 | -4.7% |
| Nevada | $58 | $171 | 107 | 1,878 | -5.1% |
| Texas | $57 | $164 | 907 | 14,948 | -6.0% |
| Mississippi | $57 | $119 | 203 | 9,366 | -6.5% |
| Virginia | $57 | $183 | 295 | 4,197 | -6.6% |
| Michigan | $56 | $160 | 320 | 3,185 | -7.8% |
| Montana | $56 | $150 | 43 | 441 | -7.9% |
| West Virginia | $56 | $184 | 77 | 1,206 | -8.5% |
| Louisiana | $55 | $136 | 241 | 5,906 | -8.6% |
| New Hampshire | $55 | $306 | 52 | 449 | -8.9% |
| Utah | $55 | $164 | 77 | 926 | -10.0% |
| Alabama | $54 | $126 | 167 | 4,501 | -10.6% |
| South Carolina | $54 | $190 | 229 | 4,086 | -11.0% |
| Ohio | $54 | $157 | 513 | 6,199 | -11.5% |
| Oklahoma | $53 | $157 | 171 | 4,039 | -12.0% |
| North Carolina | $53 | $219 | 375 | 5,162 | -12.4% |
| Missouri | $53 | $185 | 211 | 2,123 | -12.4% |
| Wyoming | $53 | $145 | 11 | 161 | -12.5% |
| Minnesota | $53 | $219 | 171 | 2,380 | -13.4% |
| Idaho | $52 | $131 | 43 | 388 | -13.6% |
| Tennessee | $52 | $170 | 297 | 3,860 | -14.4% |
| Indiana | $52 | $215 | 224 | 2,820 | -14.7% |
| Maine | $52 | $150 | 33 | 298 | -14.7% |
| Kentucky | $52 | $160 | 215 | 4,863 | -14.8% |
| Wisconsin | $51 | $401 | 214 | 1,553 | -15.7% |
| Iowa | $51 | $199 | 74 | 1,030 | -15.9% |
| South Dakota | $50 | $216 | 40 | 417 | -17.4% |
| Vermont | $50 | $239 | 15 | 133 | -18.0% |
| Kansas | $49 | $177 | 99 | 946 | -19.6% |
| Arkansas | $49 | $177 | 126 | 1,524 | -19.7% |
| Nebraska | $48 | $199 | 55 | 927 | -20.4% |
| North Dakota | $42 | $407 | 32 | 221 | -30.3% |
⚠️ 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