11601

Removal of cancer skin growth of body, arms, or legs, 0.6-1.0 cm

Medicare pricing data for 6,198 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 cancer skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS code 11601) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $151.56, but hospitals typically charge $482.82 — a 3.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$30.31

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $151.56, your out-of-pocket cost would be approximately $30.31. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$151.56
Average Hospital Charge
$482.82
Markup Ratio
3.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$482.82
Medicare Allowed$151.56
Medicare Payment$116.79

Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $116.79 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$220$1,0941011+45.3%
Hawaii$193$41627164+27.6%
New Jersey$182$555128335+20.1%
New Mexico$179$4153488+18.2%
California$173$4986482,049+14.4%
Maryland$172$503120461+13.3%
Idaho$168$43539107+10.8%
Oklahoma$168$42867150+10.7%
Connecticut$168$55358154+10.7%
Rhode Island$166$5812236+9.8%
Utah$165$38051167+9.2%
Delaware$164$3762088+8.1%
Nebraska$162$50951126+7.2%
North Dakota$162$5052444+6.7%
Michigan$160$413158256+5.4%
Montana$159$4003162+4.7%
Vermont$159$4641041+4.6%
Wyoming$158$5901229+4.1%
Pennsylvania$158$431268590+4.0%
New York$156$562263640+3.0%
Virginia$156$456209603+2.9%
District of Columbia$155$4631434+2.0%
Ohio$154$442227425+1.4%
Illinois$153$578229535+0.6%
Louisiana$152$55796264+0.2%
North Carolina$152$454224575+0.1%
Colorado$150$546101239-0.9%
Oregon$150$52671207-1.1%
Massachusetts$149$648167481-1.8%
Alabama$148$375101355-2.6%
Kansas$147$432110222-2.7%
Florida$147$4245102,078-2.8%
Washington$147$499131268-3.2%
Texas$147$451325662-3.2%
Indiana$145$460169572-4.4%
Arkansas$144$39745188-5.1%
Arizona$144$481139351-5.3%
Tennessee$143$371137543-5.7%
Nevada$143$46639159-5.7%
Wisconsin$142$868112178-6.3%
Minnesota$142$67196163-6.4%
Mississippi$139$49591265-8.6%
Iowa$137$53283169-9.9%
New Hampshire$136$6723664-10.5%
Kentucky$130$40092278-13.9%
Maine$130$4483048-14.0%
Missouri$130$851108220-14.5%
South Carolina$129$410116308-15.0%
Georgia$121$436178753-20.3%
West Virginia$120$43835211-20.5%
South Dakota$113$4063396-25.4%

⚠️ 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