11313

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm

Medicare pricing data for 1,449 providers across 42 states

🤖AI Overview

This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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, more than 2.0 cm (HCPCS code 11313) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $170.13, but hospitals typically charge $303.14 — a 1.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$34.03

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $170.13, your out-of-pocket cost would be approximately $34.03. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$170.13
Average Hospital Charge
$303.14
Markup Ratio
1.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$303.14
Medicare Allowed$170.13
Medicare Payment$126.63

Hospitals charge 1.8x more than what Medicare allows for this procedure. Medicare actually pays $126.63 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$195$32252445+14.6%
California$195$420160792+14.5%
Maryland$193$3802952+13.2%
Connecticut$190$3751428+11.6%
New York$187$33095494+10.0%
Massachusetts$184$4063079+7.9%
New Hampshire$183$400612+7.5%
Colorado$178$2941336+4.6%
Puerto Rico$178$184123+4.5%
Nevada$176$479814+3.4%
Delaware$176$3081018+3.2%
Florida$170$303115269+0.1%
Pennsylvania$168$35397217-1.5%
Arizona$168$36027174-1.5%
Illinois$167$50067166-1.7%
Virginia$167$39946114-1.8%
Washington$167$2972039-1.9%
Texas$166$34180194-2.6%
Michigan$164$3264773-3.5%
Idaho$164$353816-3.7%
Kansas$164$3512032-3.7%
North Carolina$163$3074479-4.3%
Utah$163$318915-4.4%
Missouri$163$3142141-4.4%
Tennessee$162$2951721-4.6%
Kentucky$162$187171,952-4.8%
Louisiana$162$3121526-5.0%
Oregon$160$5021521-5.8%
South Carolina$158$3052758-7.0%
Indiana$156$29553140-8.1%
Iowa$155$5061012-8.8%
Ohio$152$28257180-10.4%
Oklahoma$152$2421022-10.5%
Wisconsin$151$6732839-11.2%
Georgia$147$31738107-13.3%
Alabama$147$2922454-13.5%
Arkansas$146$2682039-14.2%
Minnesota$144$4672145-15.2%
West Virginia$143$3841725-15.7%
Nebraska$134$3471463-21.0%
Mississippi$130$2494130-23.4%
South Dakota$117$299913-31.1%

⚠️ 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