11305

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less

Medicare pricing data for 7,427 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $47 in North Dakota to $100 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

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less (HCPCS code 11305) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $84.87, but hospitals typically charge $178.89 — a 2.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.97

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $84.87, your out-of-pocket cost would be approximately $16.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$84.87
Average Hospital Charge
$178.89
Markup Ratio
2.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$178.89
Medicare Allowed$84.87
Medicare Payment$63.09

Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $63.09 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$100$21716112+17.7%
New York$97$2374045,397+14.3%
Washington$96$1701271,128+13.3%
Alaska$94$310914+10.9%
Massachusetts$92$236145672+8.0%
Puerto Rico$91$1111163+7.7%
Connecticut$91$16644197+7.2%
California$90$16755917,793+6.5%
Maryland$90$188109754+5.7%
New Jersey$89$2262402,061+5.1%
Illinois$89$1784307,504+4.8%
Colorado$89$191138382+4.5%
Hawaii$88$1891890+3.5%
Michigan$88$1662792,368+3.5%
Florida$87$16164513,000+2.7%
Mississippi$85$14244834+0.4%
Pennsylvania$83$1774964,037-1.7%
Virginia$83$1702082,496-2.2%
Minnesota$82$295174700-3.8%
Texas$81$1993892,330-4.6%
Rhode Island$81$23031182-5.0%
Vermont$81$1981620-5.1%
New Mexico$80$18738201-5.9%
Delaware$78$18521153-7.6%
Montana$78$1441445-8.0%
Arizona$78$1991371,072-8.2%
Nevada$78$18337823-8.5%
Oregon$78$26479379-8.6%
New Hampshire$77$33043165-9.5%
Ohio$76$1593493,696-10.2%
Georgia$74$182137768-12.4%
South Carolina$74$1391513,221-12.6%
Louisiana$74$20366255-12.9%
Kansas$74$17989272-13.3%
Indiana$73$1672021,117-13.4%
North Carolina$73$1892261,003-13.7%
Arkansas$73$15966344-13.8%
Wyoming$73$23424163-14.1%
Maine$72$2062646-15.4%
Wisconsin$71$329155399-16.4%
Missouri$71$163125696-16.4%
Idaho$71$22248207-16.5%
Iowa$70$22496750-17.6%
Oklahoma$70$17158169-18.1%
Nebraska$69$170861,281-19.1%
Alabama$69$17099382-19.2%
Tennessee$68$169116808-20.0%
Utah$68$19395278-20.1%
Kentucky$67$16780349-21.0%
West Virginia$63$17366446-25.4%
South Dakota$50$16356206-41.2%
North Dakota$47$18632153-44.3%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber