11310

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less

Medicare pricing data for 8,143 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $52 in South Dakota to $117 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 face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less (HCPCS code 11310) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $90.69, but hospitals typically charge $237.19 — a 2.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$18.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $90.69, your out-of-pocket cost would be approximately $18.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$90.69
Average Hospital Charge
$237.19
Markup Ratio
2.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$237.19
Medicare Allowed$90.69
Medicare Payment$65.70

Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $65.70 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$117$26920197+29.4%
Alaska$109$5631837+20.6%
Massachusetts$107$320150865+18.2%
Connecticut$106$23449262+16.7%
Maryland$104$243137883+15.2%
Hawaii$104$21919235+14.2%
New Jersey$103$2512402,058+13.5%
California$101$2306216,542+11.6%
New York$101$3443832,730+11.4%
Rhode Island$101$28931213+11.2%
Delaware$101$23022223+11.1%
Colorado$100$235141491+10.5%
Montana$99$13616137+8.6%
Virginia$96$2382251,635+6.3%
Nevada$96$23941432+5.7%
Illinois$95$2743743,391+4.2%
New Mexico$94$19728156+4.0%
Oregon$94$32792651+3.6%
Maine$94$2263167+3.2%
Florida$93$2225513,292+3.1%
Michigan$92$2043221,163+1.9%
Texas$92$2234542,798+1.6%
Vermont$92$1742060+1.6%
Washington$92$200158977+1.3%
Arizona$91$2321381,090-0.1%
Minnesota$90$3352571,420-0.8%
Oklahoma$89$17276336-2.2%
Kansas$88$198111395-2.5%
New Hampshire$88$33547319-3.1%
Pennsylvania$87$2055333,468-4.1%
Arkansas$87$17996584-4.5%
Indiana$86$1972391,573-4.6%
North Carolina$86$2062722,014-5.7%
Georgia$85$2191501,252-5.9%
Louisiana$85$21387511-6.1%
Puerto Rico$85$134643-6.5%
Utah$84$215107494-6.9%
Ohio$84$1963533,174-7.5%
Alabama$84$180134943-7.8%
Iowa$83$2921201,796-8.3%
Nebraska$83$2721041,059-8.7%
Idaho$83$25458481-9.0%
Missouri$82$228148782-9.2%
Wyoming$81$34322658-10.6%
Kentucky$81$18799524-11.1%
Wisconsin$79$384230749-12.8%
West Virginia$78$19882804-13.5%
South Carolina$78$1711362,189-13.8%
Mississippi$78$17547158-13.8%
Tennessee$75$172153896-17.6%
North Dakota$74$24544347-18.6%
South Dakota$52$16169520-42.9%

⚠️ 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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