11606

Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm

Medicare pricing data for 9,510 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, more than 4.0 cm (HCPCS code 11606) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $357.12, but hospitals typically charge $1,223 — a 3.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$71.42

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $357.12, your out-of-pocket cost would be approximately $71.42. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$357.12
Average Hospital Charge
$1,223
Markup Ratio
3.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,223.29
Medicare Allowed$357.12
Medicare Payment$280.23

Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $280.23 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$419$1,4878922,852+17.2%
Alaska$408$2,8042551+14.1%
District of Columbia$406$1,59519124+13.6%
Wyoming$404$1,03422120+13.2%
Maryland$396$1,127193852+10.8%
Florida$394$1,0108663,682+10.4%
New Jersey$384$1,8922291,101+7.5%
New York$379$1,5944031,302+6.1%
Hawaii$379$93834111+6.1%
Connecticut$376$1,27193237+5.4%
Rhode Island$372$1,12134109+4.3%
Nevada$372$86966177+4.3%
Massachusetts$372$1,274223617+4.1%
Delaware$366$1,05943199+2.4%
Virginia$363$1,0942841,080+1.6%
Illinois$359$1,3813561,160+0.5%
Colorado$359$1,439171351+0.5%
Georgia$358$1,256271978+0.2%
Texas$355$1,0435611,620-0.7%
South Carolina$342$1,198191619-4.3%
Washington$338$1,048214439-5.3%
Indiana$337$1,455239796-5.5%
Arizona$336$998217656-5.9%
Michigan$336$923227548-5.9%
Pennsylvania$335$1,0054061,295-6.3%
New Mexico$331$1,07553136-7.2%
Missouri$331$1,173209589-7.3%
Utah$331$89268109-7.4%
Minnesota$323$1,516135294-9.6%
Idaho$322$88168184-9.8%
West Virginia$319$88260185-10.7%
Nebraska$317$1,24994238-11.2%
New Hampshire$317$1,36460143-11.3%
North Carolina$317$1,090316924-11.3%
Ohio$317$995344888-11.3%
Mississippi$315$2,229126385-11.8%
Arkansas$314$83987189-12.1%
Tennessee$314$889236711-12.2%
Alabama$313$973168519-12.3%
Kentucky$313$871188473-12.3%
Iowa$312$1,406138306-12.5%
Louisiana$311$915114247-13.0%
Kansas$310$1,092145386-13.2%
Oregon$310$1,477117283-13.3%
Oklahoma$309$930129363-13.5%
Vermont$302$1,3152555-15.5%
South Dakota$301$91146130-15.8%
North Dakota$300$1,1543472-15.9%
Wisconsin$300$2,138177398-16.0%
Maine$295$1,06843121-17.4%
Montana$287$9073872-19.6%

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

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