11423

Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm

Medicare pricing data for 6,208 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, 2.1-3.0 cm (HCPCS code 11423) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $134.64, but hospitals typically charge $452.38 — a 3.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.93

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $134.64, your out-of-pocket cost would be approximately $26.93. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$134.64
Average Hospital Charge
$452.38
Markup Ratio
3.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$452.38
Medicare Allowed$134.64
Medicare Payment$102.13

Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $102.13 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$168$7841523+24.7%
Connecticut$152$53869110+12.6%
New York$148$575361687+10.2%
North Carolina$146$399242502+8.8%
Illinois$145$545272545+7.8%
Massachusetts$145$595168306+7.6%
Maryland$144$503128238+6.8%
New Jersey$143$511177312+6.1%
Louisiana$140$35592157+3.8%
Pennsylvania$139$393253559+3.6%
Kansas$139$43374122+3.0%
Arkansas$138$34761119+2.6%
California$138$4145181,041+2.4%
Florida$138$3955521,131+2.3%
Michigan$138$407180270+2.2%
Oklahoma$137$39678127+1.7%
South Carolina$137$369144399+1.6%
Vermont$136$423814+1.3%
Rhode Island$136$5412230+0.9%
Mississippi$136$39264129+0.8%
Wyoming$135$4581121+0.5%
Puerto Rico$134$2111730-0.8%
Virginia$133$426160360-1.6%
Delaware$132$4832553-2.3%
Wisconsin$131$908107163-2.5%
Nebraska$131$4665998-2.7%
South Dakota$131$4151730-3.0%
Ohio$131$408208348-3.1%
Minnesota$130$66484103-3.3%
Colorado$130$465101144-3.6%
New Hampshire$130$5994170-3.7%
Hawaii$129$4611322-3.9%
Texas$129$452464907-4.1%
Alabama$129$36486145-4.3%
Indiana$128$438153260-4.6%
District of Columbia$128$4551624-5.3%
Washington$126$451117168-6.2%
Utah$126$3564455-6.7%
Oregon$125$4695993-6.8%
Montana$123$3891828-8.9%
Maine$123$4792123-8.9%
New Mexico$122$4812532-9.3%
Tennessee$121$382157248-9.9%
Georgia$120$444174326-10.9%
Missouri$120$450117197-10.9%
Iowa$119$61169114-11.7%
North Dakota$118$5161825-12.1%
Nevada$118$41247103-12.7%
Kentucky$112$40378149-16.6%
Arizona$111$425152283-17.4%
Idaho$107$3643654-20.4%
West Virginia$107$3893477-20.6%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber