11604

Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm

Medicare pricing data for 10,637 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, 3.1-4.0 cm (HCPCS code 11604) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $210.28, but hospitals typically charge $745.22 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$42.06

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $210.28, your out-of-pocket cost would be approximately $42.06. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$210.28
Average Hospital Charge
$745.22
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$745.22
Medicare Allowed$210.28
Medicare Payment$163.80

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $163.80 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$321$1,1151745+52.8%
Hawaii$244$69135104+16.1%
Maryland$243$750229962+15.4%
New Jersey$233$8402361,236+10.7%
Virginia$230$7403121,561+9.2%
California$226$8621,0233,876+7.3%
Massachusetts$224$9112931,146+6.5%
Oregon$222$898128320+5.8%
Louisiana$221$573130304+5.1%
New York$220$9334811,468+4.9%
Colorado$219$777183461+4.0%
Illinois$218$9343921,304+3.7%
District of Columbia$216$78919102+2.9%
Michigan$216$634264734+2.7%
Minnesota$215$880174489+2.4%
Oklahoma$212$653132319+0.6%
Iowa$211$860125392+0.1%
Rhode Island$209$72437122-0.7%
Texas$208$6786512,081-0.9%
Pennsylvania$208$6744441,500-1.0%
Nebraska$208$726105278-1.1%
Delaware$206$71050211-2.1%
Washington$205$669226612-2.3%
Florida$205$6101,0454,997-2.4%
Georgia$204$8742971,322-3.0%
Utah$203$57990193-3.3%
New Hampshire$203$84866193-3.4%
Missouri$203$742215583-3.6%
Wyoming$202$68523577-3.8%
West Virginia$202$65669239-3.8%
Arizona$202$624257972-4.0%
Connecticut$202$710117444-4.0%
New Mexico$202$71448126-4.1%
North Carolina$200$6703871,145-5.0%
Ohio$200$6393611,206-5.1%
Montana$199$5605299-5.2%
Mississippi$199$1,072117368-5.3%
Kentucky$196$550152647-6.7%
South Carolina$196$649211769-7.0%
Kansas$195$675131423-7.2%
Tennessee$193$598275955-8.1%
Nevada$193$63181320-8.2%
Idaho$193$57383206-8.3%
Wisconsin$192$1,288193510-8.5%
Indiana$191$867229957-9.1%
Maine$189$73849146-10.3%
Alabama$188$677180488-10.7%
Vermont$183$5502581-13.1%
Arkansas$182$60291357-13.3%
North Dakota$175$67236101-16.6%
South Dakota$166$50142139-21.2%

⚠️ 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