11404

Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm

Medicare pricing data for 8,978 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, 3.1-4.0 cm (HCPCS code 11404) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $149.74, but hospitals typically charge $649.14 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$29.95

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $149.74, your out-of-pocket cost would be approximately $29.95. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$149.74
Average Hospital Charge
$649.14
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$649.14
Medicare Allowed$149.74
Medicare Payment$115.50

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $115.50 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$220$9931820+46.9%
Delaware$209$83648112+39.5%
Maryland$177$839207404+18.2%
California$169$6537091,441+12.8%
New Jersey$168$963243559+12.1%
Arkansas$166$469109222+10.6%
Illinois$165$813405732+10.4%
Pennsylvania$161$578402776+7.7%
Connecticut$161$74974121+7.6%
Colorado$159$657141182+6.4%
New York$158$797499960+5.6%
Kansas$157$574124214+4.7%
Alabama$156$565156282+3.9%
Mississippi$154$720119207+3.0%
Indiana$152$757232457+1.8%
Montana$150$4292136-0.1%
Nebraska$148$61975113-1.3%
Virginia$147$556240613-1.6%
North Carolina$146$600289456-2.7%
Florida$145$6388491,769-3.2%
Hawaii$144$4902231-3.6%
Missouri$144$681208303-4.0%
Massachusetts$143$676245499-4.4%
Oklahoma$143$449128217-4.4%
New Mexico$142$5793654-5.3%
Michigan$142$535262380-5.3%
Georgia$142$636253458-5.4%
Oregon$141$55670108-5.8%
Wisconsin$141$1,042154217-5.8%
Puerto Rico$140$227929-6.6%
Rhode Island$140$5261825-6.7%
Texas$139$6386631,133-7.4%
Minnesota$138$702122160-7.6%
Washington$138$508143213-7.8%
Louisiana$138$559130243-8.1%
Ohio$137$519311506-8.7%
Wyoming$137$493915-8.8%
Vermont$136$4452027-9.0%
South Carolina$135$611174306-9.8%
Tennessee$135$503214387-9.8%
District of Columbia$133$5491326-11.3%
Arizona$129$492184335-13.6%
Utah$127$3974571-15.5%
Iowa$126$626100155-15.7%
Maine$126$4373848-16.0%
Nevada$124$46161125-17.3%
South Dakota$124$3683654-17.5%
West Virginia$123$47063129-17.6%
New Hampshire$120$6265395-19.9%
Kentucky$119$477121199-20.3%
North Dakota$115$5401426-23.1%
Idaho$113$4193648-24.7%

⚠️ 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