Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
Medicare pricing data for 4,426 providers across 51 states
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 scalp, neck, hands, feet, or genitals, 0.5 cm or less (HCPCS code 11420) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $109.84, but hospitals typically charge $246.02 — a 2.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $109.84, your out-of-pocket cost would be approximately $21.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $81.70 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $137 | $236 | 98 | 803 | +24.3% |
| District of Columbia | $129 | $176 | 12 | 97 | +17.1% |
| California | $124 | $242 | 332 | 847 | +12.9% |
| New York | $123 | $283 | 268 | 999 | +12.4% |
| Maryland | $123 | $267 | 97 | 166 | +11.9% |
| Washington | $119 | $248 | 81 | 306 | +8.7% |
| Rhode Island | $118 | $268 | 18 | 28 | +7.2% |
| Connecticut | $118 | $372 | 44 | 71 | +7.2% |
| Florida | $116 | $235 | 326 | 841 | +5.6% |
| Utah | $115 | $343 | 37 | 148 | +4.3% |
| Illinois | $113 | $231 | 213 | 780 | +3.3% |
| Hawaii | $113 | $245 | 19 | 30 | +3.2% |
| Pennsylvania | $111 | $216 | 228 | 980 | +1.5% |
| Texas | $110 | $259 | 260 | 654 | +0.3% |
| Virginia | $110 | $293 | 113 | 218 | +0.1% |
| Alaska | $110 | $487 | 13 | 23 | +0.0% |
| Montana | $108 | $237 | 11 | 17 | -1.4% |
| Puerto Rico | $108 | $131 | 4 | 67 | -1.8% |
| Iowa | $108 | $311 | 78 | 187 | -1.9% |
| Colorado | $106 | $273 | 77 | 102 | -3.3% |
| Delaware | $106 | $229 | 23 | 35 | -3.5% |
| Ohio | $106 | $229 | 149 | 249 | -3.9% |
| Wyoming | $105 | $273 | 15 | 28 | -4.7% |
| Michigan | $104 | $226 | 164 | 289 | -4.9% |
| Arizona | $104 | $172 | 72 | 332 | -5.0% |
| Nevada | $104 | $217 | 29 | 74 | -5.3% |
| Maine | $102 | $376 | 11 | 13 | -7.1% |
| Minnesota | $102 | $385 | 75 | 108 | -7.5% |
| Missouri | $101 | $232 | 80 | 154 | -7.6% |
| Oregon | $101 | $321 | 43 | 65 | -8.0% |
| Wisconsin | $101 | $458 | 92 | 137 | -8.3% |
| New Mexico | $100 | $144 | 28 | 307 | -9.2% |
| Georgia | $100 | $232 | 107 | 215 | -9.3% |
| North Carolina | $99 | $269 | 147 | 204 | -9.5% |
| Arkansas | $99 | $224 | 43 | 105 | -9.6% |
| Kentucky | $99 | $232 | 46 | 56 | -9.7% |
| Oklahoma | $98 | $197 | 68 | 167 | -10.6% |
| New Hampshire | $98 | $374 | 26 | 31 | -11.0% |
| Indiana | $97 | $234 | 118 | 195 | -11.5% |
| South Carolina | $96 | $206 | 101 | 195 | -12.5% |
| Nebraska | $95 | $284 | 44 | 65 | -13.9% |
| South Dakota | $94 | $185 | 21 | 31 | -14.0% |
| Massachusetts | $94 | $269 | 122 | 1,209 | -14.7% |
| Kansas | $93 | $233 | 82 | 118 | -14.9% |
| Tennessee | $93 | $248 | 118 | 176 | -14.9% |
| Idaho | $93 | $233 | 29 | 40 | -15.0% |
| Mississippi | $93 | $232 | 59 | 83 | -15.3% |
| Louisiana | $92 | $225 | 66 | 182 | -16.4% |
| West Virginia | $91 | $258 | 23 | 36 | -16.9% |
| North Dakota | $88 | $319 | 19 | 26 | -20.0% |
| Alabama | $86 | $180 | 66 | 253 | -22.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber