11400

Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less

Medicare pricing data for 7,616 providers across 51 states

🤖AI Overview

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

Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less (HCPCS code 11400) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $100.73, but hospitals typically charge $299.43 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$20.15

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $100.73, your out-of-pocket cost would be approximately $20.15. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$100.73
Average Hospital Charge
$299.43
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$299.43
Medicare Allowed$100.73
Medicare Payment$74.22

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $74.22 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$124$2551245+23.0%
Connecticut$121$3014780+20.1%
New Jersey$115$367168342+14.2%
California$114$2944851,065+13.4%
Virginia$114$324200537+13.3%
Delaware$110$2013161+9.5%
Alaska$109$5282444+8.5%
Rhode Island$109$3132345+8.0%
New York$108$348358678+7.3%
Montana$108$2721931+6.9%
Hawaii$107$2303088+6.1%
New Mexico$106$2534472+5.5%
Colorado$106$325149202+5.2%
Massachusetts$105$3261861,216+4.7%
Washington$104$282122195+3.5%
Maryland$103$377179449+2.7%
Illinois$103$3003901,012+2.5%
Pennsylvania$103$249399778+2.5%
Oregon$103$31673100+1.8%
Texas$103$315433693+1.8%
Minnesota$102$402159255+1.3%
Florida$102$3035861,164+1.3%
Arizona$102$233105169+1.0%
New Hampshire$101$3054967+0.3%
Utah$101$21959102+0.0%
Nevada$100$2502988-0.6%
Michigan$99$233297465-1.3%
North Carolina$97$272205349-3.3%
Iowa$97$299127204-3.5%
Wyoming$97$3002251-3.9%
Louisiana$97$260124238-4.0%
South Carolina$97$239126217-4.1%
Oklahoma$97$262111183-4.2%
Arkansas$96$26281125-4.4%
Ohio$96$231289648-5.2%
Tennessee$94$267211342-6.4%
North Dakota$94$2554498-6.8%
Nebraska$93$28293154-7.6%
Kansas$93$308169299-8.0%
Georgia$92$295169289-9.0%
Indiana$91$336252482-9.2%
Idaho$90$22350110-10.7%
Kentucky$90$23097197-10.9%
Mississippi$89$264101148-11.8%
Wisconsin$89$505184284-11.8%
Alabama$87$166109314-14.1%
Maine$86$2542638-14.3%
Missouri$85$336152280-16.1%
Vermont$84$1762228-16.4%
South Dakota$83$2014372-17.7%
West Virginia$74$25355223-26.7%

⚠️ 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