11421

Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm

Medicare pricing data for 10,674 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 scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS code 11421) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $117.26, but hospitals typically charge $397.37 — a 3.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$23.45

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $117.26, your out-of-pocket cost would be approximately $23.45. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$117.26
Average Hospital Charge
$397.37
Markup Ratio
3.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$397.37
Medicare Allowed$117.26
Medicare Payment$88.20

Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $88.20 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$158$6402130+34.4%
New York$146$3575592,569+24.9%
Hawaii$145$3092760+23.7%
New Mexico$141$21655369+20.5%
New Jersey$137$496269741+17.1%
Maryland$126$540265527+7.8%
California$124$3507802,305+5.6%
Wyoming$123$3871938+5.2%
Pennsylvania$122$3535231,233+4.4%
Connecticut$122$434121183+3.9%
Nevada$121$28064190+3.4%
Florida$121$4468151,800+3.1%
Rhode Island$120$3934763+2.7%
District of Columbia$119$3751535+1.2%
Virginia$118$399322612+0.4%
Delaware$117$6014583-0.0%
Illinois$116$491516967-1.1%
Tennessee$115$331279604-1.5%
Michigan$114$327349534-2.5%
Oregon$114$378106181-2.7%
Montana$113$3163664-3.9%
Nebraska$112$376107200-4.7%
Texas$112$5226811,448-4.9%
Colorado$111$454161264-5.0%
Ohio$111$328382717-5.4%
Oklahoma$111$288148286-5.6%
Louisiana$109$400158305-7.0%
Washington$109$348193313-7.4%
Kansas$108$409175325-7.7%
North Carolina$108$394353548-7.9%
Puerto Rico$108$1301475-7.9%
South Carolina$107$321218467-9.0%
Wisconsin$106$651232383-9.4%
Indiana$106$449306530-9.6%
Minnesota$104$521210304-11.0%
Kentucky$104$436127213-11.2%
Alabama$104$278143308-11.2%
Massachusetts$104$3463081,602-11.4%
Arizona$104$431187360-11.4%
Iowa$103$437139241-12.4%
Georgia$101$370255590-13.7%
Idaho$100$2835288-14.5%
Utah$100$29983122-14.5%
Arkansas$100$265114311-14.8%
New Hampshire$99$48777127-15.8%
Missouri$99$433201319-16.0%
North Dakota$97$3492859-17.6%
Maine$96$4275267-18.2%
Vermont$95$3843955-18.8%
Mississippi$95$497133287-19.3%
South Dakota$89$2854976-23.9%
West Virginia$88$35368122-25.1%

⚠️ 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