11440

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less

Medicare pricing data for 7,854 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 face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less (HCPCS code 11440) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $110.69, but hospitals typically charge $383.33 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$22.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $110.69, your out-of-pocket cost would be approximately $22.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$110.69
Average Hospital Charge
$383.33
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$383.33
Medicare Allowed$110.69
Medicare Payment$81.54

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $81.54 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$150$2981328+35.5%
California$137$3935201,127+24.1%
Alaska$136$5302154+22.4%
Hawaii$135$2942680+21.9%
Rhode Island$132$3162334+19.4%
Montana$129$2512040+16.2%
New Jersey$128$637160375+15.9%
Connecticut$126$43873131+13.6%
Wyoming$126$3651531+13.4%
Oregon$124$434119223+12.3%
New Mexico$124$2733583+11.7%
Nevada$122$26433107+9.8%
Delaware$120$2772066+8.5%
Texas$119$447473934+7.3%
Maryland$119$482159433+7.1%
New York$118$4784011,054+6.6%
Utah$117$32550127+5.9%
Washington$117$407155293+5.6%
Illinois$117$448374881+5.4%
North Dakota$116$34439100+4.9%
Virginia$115$351221750+4.2%
Colorado$114$513140321+2.9%
Idaho$113$24751109+2.3%
Vermont$113$2392151+2.1%
Florida$113$3865191,390+1.9%
Pennsylvania$113$3834161,209+1.8%
New Hampshire$112$3363890+0.7%
Arizona$111$348108215+0.2%
Oklahoma$110$30298208-0.4%
South Carolina$110$317156465-0.4%
North Carolina$110$296242723-0.6%
Wisconsin$110$553241536-0.7%
Kansas$110$395137350-0.8%
Minnesota$110$488185430-0.9%
Tennessee$109$328172471-1.3%
South Dakota$109$24547118-1.6%
Michigan$108$294292749-2.3%
Nebraska$106$344111264-4.5%
Iowa$106$429110245-4.5%
Arkansas$105$296101245-4.8%
Kentucky$105$238101226-5.0%
Louisiana$103$333124308-7.0%
Indiana$102$404259729-8.1%
Georgia$102$329182515-8.2%
Mississippi$101$343125280-9.0%
Ohio$100$407258674-9.5%
Alabama$100$221115449-9.6%
Missouri$96$355192459-13.3%
Massachusetts$95$3321872,226-13.8%
West Virginia$93$29165225-16.0%
Maine$92$48145127-17.0%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber