11623

Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm

Medicare pricing data for 7,671 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $121 in Wyoming to $254 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 cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm (HCPCS code 11623) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $173.16, but hospitals typically charge $693.03 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$34.63

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $173.16, your out-of-pocket cost would be approximately $34.63. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$173.16
Average Hospital Charge
$693.03
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$693.03
Medicare Allowed$173.16
Medicare Payment$135.34

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $135.34 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$254$1,0601226+46.8%
Puerto Rico$222$328512+28.3%
Hawaii$205$7002558+18.1%
California$200$6637212,166+15.6%
New York$193$788286647+11.5%
Connecticut$187$79074146+8.1%
Virginia$185$773228694+7.1%
Colorado$185$753128247+6.8%
New Mexico$184$7123787+6.0%
New Hampshire$182$1,0004072+5.2%
Illinois$182$881255691+5.1%
New Jersey$181$855159376+4.8%
Minnesota$179$845121228+3.6%
Nevada$179$60451155+3.4%
Arizona$178$631194544+2.9%
Massachusetts$177$896169490+2.4%
Washington$175$629161319+1.0%
Florida$175$5897542,710+1.0%
Wisconsin$174$1,213134265+0.6%
District of Columbia$174$8931389+0.6%
Montana$174$6122565+0.6%
Michigan$173$639190390+0.1%
Pennsylvania$172$676286741-0.4%
Maryland$172$708156588-0.6%
South Dakota$172$6183858-0.9%
Texas$171$6235141,676-1.4%
Tennessee$170$570198466-1.9%
Utah$169$51262127-2.4%
North Carolina$167$628275772-3.5%
Ohio$167$651273635-3.6%
Oregon$167$706101215-3.7%
Oklahoma$166$59099201-4.2%
Louisiana$166$632106248-4.4%
Arkansas$165$50967158-4.8%
Alabama$162$556143354-6.4%
Georgia$162$681227824-6.7%
North Dakota$161$6442053-7.0%
Vermont$161$6462052-7.0%
Missouri$160$694174436-7.4%
Kansas$160$750124245-7.9%
West Virginia$159$58145125-8.0%
Idaho$157$59156165-9.4%
Rhode Island$156$7271626-9.8%
Iowa$156$1,01197247-9.9%
Kentucky$156$540134404-10.1%
Nebraska$156$67889287-10.2%
Mississippi$155$1,055111352-10.4%
Indiana$155$812160478-10.5%
South Carolina$155$653163782-10.5%
Maine$153$8013358-11.5%
Delaware$145$68636101-16.4%
Wyoming$121$75417229-30.4%

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

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