11055

Removal of noncancer thickened skin growth, 1 growth

Medicare pricing data for 15,537 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $40 in South Dakota to $82 in District of Columbia. 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 noncancer thickened skin growth, 1 growth (HCPCS code 11055) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $68.78, but hospitals typically charge $108.21 — a 1.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.76

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $68.78, your out-of-pocket cost would be approximately $13.76. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$68.78
Average Hospital Charge
$108.21
Markup Ratio
1.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$108.21
Medicare Allowed$68.78
Medicare Payment$50.72

Hospitals charge 1.6x more than what Medicare allows for this procedure. Medicare actually pays $50.72 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$82$125301,140+19.5%
New Jersey$78$11374344,278+13.2%
New York$77$1111,11261,741+11.4%
Maryland$76$10232531,043+10.2%
Massachusetts$76$10533829,155+10.1%
Hawaii$76$10543852+10.0%
Connecticut$76$10418613,996+9.9%
California$73$1221,865103,476+6.0%
Rhode Island$72$99818,619+5.3%
Delaware$72$106476,316+4.6%
Wyoming$71$9717654+3.9%
Puerto Rico$70$82523+2.2%
Virginia$69$11743012,043-0.0%
Colorado$69$1221836,048-0.3%
Arizona$68$11441919,127-0.5%
Pennsylvania$68$9697581,700-0.7%
Maine$68$83442,323-1.6%
Minnesota$67$1162109,076-1.9%
Oregon$67$1332298,740-2.3%
New Hampshire$66$100521,609-3.4%
Nevada$66$931177,278-3.4%
Michigan$66$10351420,710-4.0%
Georgia$66$1204059,957-4.4%
Washington$66$11850614,967-4.4%
Illinois$65$10864151,810-5.0%
Utah$65$1062147,520-5.7%
Texas$65$10971525,017-5.9%
Montana$64$104813,576-6.5%
Florida$64$9982949,647-6.6%
Wisconsin$64$1302329,322-6.9%
South Carolina$64$992827,413-7.0%
Ohio$64$10067123,543-7.1%
North Carolina$64$11548813,643-7.4%
Vermont$62$9711584-9.9%
Kentucky$62$881607,785-10.1%
Missouri$62$10025415,206-10.5%
New Mexico$61$116772,148-10.6%
Alabama$61$901603,532-11.0%
Oklahoma$61$871274,110-11.1%
Alaska$61$18029282-11.9%
Indiana$61$9226712,397-12.0%
Iowa$61$1321699,498-12.0%
Tennessee$60$1073056,952-12.6%
Arkansas$60$94791,933-13.0%
Kansas$60$95995,832-13.1%
Mississippi$59$122811,443-14.1%
West Virginia$58$101961,866-15.2%
Nebraska$53$1051113,425-23.2%
Louisiana$52$1081573,387-23.9%
Idaho$51$1091233,230-25.4%
North Dakota$42$1121001,542-39.5%
South Dakota$40$104892,152-41.6%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber