11442

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm

Medicare pricing data for 9,350 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $89 in Georgia to $194 in Alaska. Where you get this procedure matters more than almost any other factor. 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, 1.1-2.0 cm (HCPCS code 11442) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $122.25, but hospitals typically charge $490.16 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.45

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $122.25, your out-of-pocket cost would be approximately $24.45. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$122.25
Average Hospital Charge
$490.16
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$490.16
Medicare Allowed$122.25
Medicare Payment$93.53

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $93.53 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$194$8171832+59.1%
Nevada$151$33859330+23.7%
California$144$4197093,181+17.5%
New York$142$5755071,644+16.0%
New Jersey$135$654238633+10.4%
Puerto Rico$135$1971732+10.1%
Hawaii$131$3772551+7.1%
District of Columbia$129$5081475+5.6%
Connecticut$128$572109229+4.8%
Maryland$128$536209601+4.6%
Massachusetts$127$531251814+4.3%
Virginia$126$443248644+2.9%
New Mexico$125$4263875+2.1%
Oregon$125$46594192+2.0%
Florida$124$4227681,831+1.1%
Illinois$122$567393996-0.2%
Colorado$121$515152317-1.0%
Wyoming$120$466817-1.7%
Oklahoma$120$385115220-2.1%
Rhode Island$119$4122644-2.5%
Texas$119$4715921,394-2.8%
Louisiana$118$423134240-3.5%
Minnesota$117$613163274-4.0%
North Carolina$117$446296610-4.7%
Pennsylvania$116$4794781,271-5.0%
Tennessee$116$385228466-5.0%
Michigan$116$438323588-5.1%
Wisconsin$115$804219460-5.6%
Utah$115$37062117-5.7%
Arizona$115$392172398-5.9%
Indiana$115$577241711-6.0%
Kansas$114$473142273-6.7%
Washington$114$426174299-6.8%
Vermont$114$3031319-6.9%
Alabama$114$393150305-7.1%
West Virginia$113$38263144-7.9%
Ohio$112$431321697-8.0%
Arkansas$112$40792179-8.0%
Nebraska$112$47498249-8.4%
Delaware$111$55143138-8.8%
Montana$111$3912965-9.0%
South Dakota$111$3844896-9.3%
New Hampshire$111$55260130-9.6%
Maine$110$43558112-9.9%
Kentucky$110$388133234-10.2%
North Dakota$109$4653792-10.9%
South Carolina$107$422172401-12.1%
Iowa$106$587127226-13.2%
Mississippi$106$693147435-13.2%
Idaho$101$36057103-17.5%
Missouri$92$603187501-24.4%
Georgia$89$556226953-27.1%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber