11403

Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm

Medicare pricing data for 16,179 providers across 52 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, 2.1-3.0 cm (HCPCS code 11403) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $115.30, but hospitals typically charge $489.26 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$23.06

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $115.30, your out-of-pocket cost would be approximately $23.06. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$115.30
Average Hospital Charge
$489.26
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$489.26
Medicare Allowed$115.30
Medicare Payment$88.47

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $88.47 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$175$8112750+51.6%
Connecticut$140$568178384+21.2%
Puerto Rico$132$2002961+14.1%
Hawaii$131$4223788+13.8%
New York$131$5778332,421+13.3%
District of Columbia$125$48831107+8.1%
California$124$5391,2584,030+7.9%
Virginia$120$4814131,355+4.2%
New Jersey$120$6214001,295+3.9%
Massachusetts$120$5844341,180+3.8%
Maryland$119$5543441,063+3.4%
New Mexico$119$43273126+3.0%
Rhode Island$119$47158145+2.9%
Michigan$118$404505998+2.6%
Kansas$117$528248515+1.9%
Louisiana$117$433234554+1.6%
Florida$117$4411,4345,076+1.4%
Wyoming$117$5102262+1.1%
Texas$116$4751,1093,318+0.7%
Illinois$116$5907271,960+0.5%
Colorado$115$502255549-0.0%
Oklahoma$114$385207496-0.7%
Montana$114$34161121-1.2%
Oregon$114$493156325-1.4%
Indiana$113$5144051,176-1.8%
Pennsylvania$112$4347561,996-2.6%
North Carolina$112$4405981,414-3.2%
Washington$111$431297593-3.4%
Tennessee$111$402404987-4.0%
Nebraska$110$473148326-4.6%
Nevada$109$401104314-5.1%
Wisconsin$109$828345697-5.4%
Ohio$108$3935201,363-6.0%
Utah$108$356112202-6.2%
Arkansas$108$378186458-6.3%
New Hampshire$108$54396220-6.5%
Minnesota$107$528262567-6.8%
Iowa$107$537192397-6.9%
Alabama$107$403232514-7.1%
Maine$107$42280161-7.5%
South Carolina$106$4323421,018-7.6%
Idaho$106$389115220-8.1%
Arizona$106$4123251,012-8.2%
Missouri$106$480344751-8.4%
Mississippi$105$527201507-8.8%
Delaware$104$69476238-10.2%
South Dakota$103$34163140-10.6%
Kentucky$103$402219528-10.7%
Georgia$103$4574531,315-11.0%
Vermont$101$3433588-12.1%
West Virginia$98$396105296-15.4%
North Dakota$93$35949137-19.7%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber