11311

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm

Medicare pricing data for 7,925 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $67 in South Dakota to $150 in Alaska. 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, 0.6-1.0 cm (HCPCS code 11311) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $112.10, but hospitals typically charge $259.62 — a 2.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$22.42

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $112.10, your out-of-pocket cost would be approximately $22.42. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$112.10
Average Hospital Charge
$259.62
Markup Ratio
2.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$259.62
Medicare Allowed$112.10
Medicare Payment$82.70

Hospitals charge 2.3x more than what Medicare allows for this procedure. Medicare actually pays $82.70 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$150$6201231+34.0%
District of Columbia$139$35222233+24.2%
Connecticut$131$26753340+17.0%
Maryland$129$268151883+15.2%
New York$125$3103855,302+11.8%
California$125$24665010,121+11.8%
Rhode Island$125$35530168+11.7%
Massachusetts$125$4291581,170+11.5%
Hawaii$121$27123181+8.4%
Virginia$121$2682191,811+8.1%
New Jersey$119$2742553,624+6.3%
Illinois$119$3193504,527+6.1%
Maine$118$2522039+5.3%
Delaware$118$28719438+5.2%
New Hampshire$117$31953544+4.5%
Montana$116$15224335+3.8%
Colorado$116$256126751+3.4%
Washington$116$2261781,318+3.3%
Michigan$115$2352941,243+2.9%
Florida$115$2395526,089+2.7%
Arizona$115$2341381,462+2.3%
Oregon$114$37393832+1.6%
Louisiana$114$24376716+1.3%
Wyoming$114$35921870+1.3%
Texas$113$2484413,773+1.2%
Pennsylvania$113$2224805,179+0.7%
Minnesota$113$3712021,649+0.5%
New Mexico$112$28731237+0.0%
Utah$111$244110504-0.9%
Kansas$111$223114400-1.0%
Nevada$111$229341,015-1.1%
Iowa$109$278115559-2.7%
Georgia$109$2371361,750-3.0%
Idaho$108$28451334-4.0%
Oklahoma$106$21074313-5.1%
Indiana$106$2442292,093-5.2%
Ohio$106$2383534,292-5.8%
Missouri$104$2481601,225-7.4%
North Carolina$103$2422863,878-7.9%
Arkansas$102$21097621-8.9%
West Virginia$101$226791,013-9.8%
Alabama$100$2161261,026-11.1%
Wisconsin$99$427200942-11.5%
Tennessee$97$212140902-13.2%
North Dakota$97$34840568-13.6%
Mississippi$97$23340260-13.7%
Puerto Rico$95$147327-15.6%
South Carolina$93$1981433,620-16.7%
Kentucky$93$201961,192-17.4%
Vermont$91$2162276-18.7%
Nebraska$76$2531022,324-32.5%
South Dakota$67$17758641-40.6%

⚠️ 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