11200

Removal of skin tag, 1-15 skin tags

Medicare pricing data for 22,904 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 skin tag, 1-15 skin tags (HCPCS code 11200) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $65.79, but hospitals typically charge $194.09 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.16

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $65.79, your out-of-pocket cost would be approximately $13.16. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$65.79
Average Hospital Charge
$194.09
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$194.09
Medicare Allowed$65.79
Medicare Payment$46.11

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $46.11 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$91$34485153+38.9%
New Jersey$78$232249655+18.4%
Massachusetts$77$2594211,106+17.1%
Connecticut$76$271133314+16.2%
Puerto Rico$75$921132+14.5%
Maryland$73$1933831,853+11.6%
District of Columbia$73$20725125+11.2%
Vermont$73$13560124+10.7%
Montana$72$178101300+10.0%
New Hampshire$72$240178420+8.8%
Colorado$71$2194851,220+8.5%
California$70$1951,3357,155+6.9%
New York$70$2007312,532+6.7%
Virginia$70$1817813,238+6.4%
Delaware$69$16778368+5.2%
Hawaii$69$17033198+4.8%
North Carolina$69$1958311,734+4.2%
Pennsylvania$68$1691,1273,049+3.0%
Minnesota$68$2639322,611+2.6%
Wisconsin$67$3507261,849+2.2%
New Mexico$67$201143271+2.1%
Michigan$67$1731,1123,449+1.9%
Illinois$67$2179253,762+1.8%
Maine$67$178190532+1.3%
Texas$66$2141,1573,323+1.1%
Washington$66$1955532,378+0.3%
South Carolina$65$1604641,573-0.7%
Rhode Island$65$1673586-0.9%
Indiana$64$1857962,515-2.1%
Louisiana$64$198273904-2.3%
Utah$64$162200563-2.5%
Ohio$64$1667582,888-2.7%
Missouri$63$1865492,000-3.6%
North Dakota$63$182130500-3.7%
Oklahoma$63$1643871,159-4.2%
Florida$63$1751,4678,475-4.4%
Oregon$63$221214794-4.9%
Idaho$62$167113240-5.5%
Tennessee$62$1796412,324-5.7%
Iowa$62$2276542,442-6.0%
Georgia$62$1825482,205-6.1%
Nebraska$62$1983821,349-6.2%
South Dakota$62$160166556-6.4%
Wyoming$62$19338156-6.5%
Arkansas$61$153282814-6.6%
Kansas$61$1624812,015-7.0%
Mississippi$61$1702831,252-7.9%
Arizona$60$1983211,625-8.2%
Kentucky$59$194224911-10.3%
Alabama$58$1534872,569-11.2%
Nevada$57$17461334-12.9%
West Virginia$57$195142474-13.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber