11406

Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm

Medicare pricing data for 8,697 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, more than 4.0 cm (HCPCS code 11406) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $253.38, but hospitals typically charge $1,034 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$50.68

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $253.38, your out-of-pocket cost would be approximately $50.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$253.38
Average Hospital Charge
$1,034
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,034.30
Medicare Allowed$253.38
Medicare Payment$196.25

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $196.25 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$364$1,4011212+43.8%
Delaware$351$1,52250130+38.4%
Hawaii$306$6861628+20.6%
Maryland$297$1,744187386+17.0%
Puerto Rico$276$316824+8.9%
Illinois$270$1,189402749+6.6%
California$270$1,0076241,183+6.6%
Mississippi$267$1,108131258+5.3%
Connecticut$266$1,23770110+5.2%
Colorado$266$1,165175257+5.1%
New Jersey$266$1,520237573+5.1%
New York$264$1,393468822+4.3%
Indiana$263$1,146223392+3.9%
Oregon$263$1,23771112+3.6%
Nebraska$260$1,13597169+2.6%
Michigan$259$814281416+2.3%
Missouri$258$1,297208369+1.7%
Virginia$257$674231597+1.5%
Utah$256$5393753+0.9%
Washington$254$787112185+0.4%
Pennsylvania$253$823406741-0.3%
Massachusetts$252$961203395-0.4%
Rhode Island$252$8362234-0.4%
Iowa$252$99190129-0.6%
New Hampshire$252$1,0814362-0.7%
Kansas$252$1,030140259-0.7%
Georgia$251$935245440-0.8%
North Carolina$251$897240350-1.1%
Minnesota$245$1,164140205-3.1%
District of Columbia$245$7742142-3.2%
North Dakota$245$1,0792431-3.2%
Alabama$245$777140253-3.5%
Oklahoma$243$719145235-4.1%
South Carolina$242$1,037168304-4.4%
Florida$242$9598061,759-4.4%
Arkansas$241$776122233-4.8%
Texas$241$1,1846501,240-4.8%
Montana$238$5972435-6.1%
Kentucky$238$725125221-6.2%
Louisiana$237$841129268-6.4%
Ohio$236$721290464-6.9%
Idaho$234$5854460-7.6%
Arizona$233$869174317-8.1%
Tennessee$232$736210336-8.4%
Maine$226$6753952-10.9%
Vermont$225$8551521-11.1%
Wisconsin$223$1,579153232-12.0%
New Mexico$221$7325392-12.6%
West Virginia$218$6495397-14.1%
Nevada$214$79457111-15.4%
South Dakota$214$5563754-15.4%

⚠️ 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