11312

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm

Medicare pricing data for 4,922 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $68 in South Dakota to $187 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, 1.1-2.0 cm (HCPCS code 11312) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $135.33, but hospitals typically charge $280.11 — a 2.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$27.07

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $135.33, your out-of-pocket cost would be approximately $27.07. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$135.33
Average Hospital Charge
$280.11
Markup Ratio
2.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$280.11
Medicare Allowed$135.33
Medicare Payment$101.18

Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $101.18 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$187$592831+38.2%
District of Columbia$170$2961430+25.8%
Maryland$157$31786360+15.9%
California$156$2514395,908+15.2%
New York$154$3322712,569+13.7%
Connecticut$153$32141161+13.1%
New Jersey$151$2931682,188+11.6%
Rhode Island$149$3842151+10.4%
Massachusetts$149$425108347+9.9%
Montana$148$19713121+9.7%
New Hampshire$147$39829106+8.7%
Delaware$147$27617117+8.3%
Nevada$145$29127445+7.2%
Illinois$145$3652321,415+7.1%
Pennsylvania$144$2553052,599+6.5%
Oregon$140$44232226+3.7%
Texas$139$3002611,310+2.9%
Virginia$139$3101311,035+2.7%
Michigan$138$271169541+1.7%
Hawaii$137$2601364+1.6%
Wyoming$137$3991285+1.4%
Washington$137$27086514+1.3%
Florida$137$2713802,248+1.3%
Arizona$136$30893721+0.4%
Minnesota$135$38496359-0.5%
Utah$134$29649129-0.6%
Georgia$134$26681850-0.9%
Maine$132$3121723-2.6%
Louisiana$131$25545196-2.9%
Iowa$131$32353117-3.1%
Idaho$131$31336105-3.2%
Oklahoma$131$26138105-3.5%
Indiana$127$258150976-6.4%
North Carolina$127$2671711,529-6.5%
Tennessee$126$28184329-6.9%
Colorado$126$30166581-7.0%
Kansas$126$24563217-7.2%
New Mexico$125$3491344-7.6%
Missouri$125$28396525-7.7%
Ohio$124$2512231,213-8.3%
South Carolina$123$273892,119-9.1%
West Virginia$123$31350225-9.2%
Arkansas$118$23564240-12.5%
North Dakota$118$39327183-12.6%
Alabama$116$24078499-14.6%
Wisconsin$115$53996342-14.8%
Mississippi$112$20724618-17.0%
Nebraska$101$29459727-25.7%
Puerto Rico$97$160526-28.1%
Kentucky$85$185732,028-37.1%
Vermont$74$1801373-45.4%
South Dakota$68$15039294-50.0%

⚠️ 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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