11057

Removal of noncancer thickened skin growth, more than 4 growths

Medicare pricing data for 8,026 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 noncancer thickened skin growth, more than 4 growths (HCPCS code 11057) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $88.94, but hospitals typically charge $142.98 — a 1.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.79

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $88.94, your out-of-pocket cost would be approximately $17.79. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$88.94
Average Hospital Charge
$142.98
Markup Ratio
1.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$142.98
Medicare Allowed$88.94
Medicare Payment$65.71

Hospitals charge 1.6x more than what Medicare allows for this procedure. Medicare actually pays $65.71 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$102$1916116+14.6%
District of Columbia$102$14018652+14.5%
New York$99$15271534,866+11.2%
New Jersey$98$14848226,302+10.7%
California$98$16596440,934+9.9%
Hawaii$97$14318170+9.0%
Connecticut$95$1451377,727+7.4%
Maryland$94$13124012,183+5.8%
Massachusetts$92$14321112,210+3.2%
Washington$92$1481684,015+3.0%
Vermont$91$150576+2.2%
Delaware$90$133281,428+1.6%
New Hampshire$90$12913158+1.3%
Rhode Island$90$149451,541+1.0%
Wyoming$89$1398118-0.2%
Virginia$89$1392058,096-0.2%
Montana$86$16936893-2.8%
Nevada$86$132561,894-3.0%
Colorado$86$140861,965-3.5%
Florida$86$13249020,229-3.7%
Minnesota$85$139911,856-4.1%
Illinois$85$12941616,106-4.4%
Arizona$85$1512255,751-4.5%
Oregon$84$208943,993-5.4%
Michigan$84$1262465,443-5.8%
Pennsylvania$83$12262029,221-6.5%
South Carolina$82$128862,720-7.7%
Maine$82$11915233-7.8%
New Mexico$82$15439820-7.8%
Missouri$81$1421584,014-8.5%
Georgia$81$1611732,981-8.6%
Ohio$81$1252755,631-9.1%
Oklahoma$81$137532,361-9.5%
Utah$81$1551022,625-9.5%
Tennessee$80$1371112,063-10.5%
Indiana$78$1261273,559-11.8%
Arkansas$78$14333981-12.2%
Texas$78$1393289,661-12.4%
Kentucky$78$113701,319-12.4%
North Carolina$78$14521812,202-12.4%
Nebraska$78$139491,274-12.5%
Alabama$78$121562,045-12.5%
Wisconsin$77$1721021,511-13.2%
Mississippi$75$12915315-15.3%
Louisiana$75$144811,029-15.6%
West Virginia$75$11534596-16.0%
Iowa$75$1741042,402-16.0%
Kansas$72$107525,523-19.3%
South Dakota$65$13824347-26.9%
Idaho$62$16840820-30.1%
North Dakota$59$16822174-33.8%

⚠️ 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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