11641

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm

Medicare pricing data for 5,217 providers across 50 states

🤖AI Overview

Prices vary significantly by location — from $116 in Maine to $244 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 face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS code 11641) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $153.34, but hospitals typically charge $548.69 — a 3.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$30.67

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $153.34, your out-of-pocket cost would be approximately $30.67. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$153.34
Average Hospital Charge
$548.69
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$548.69
Medicare Allowed$153.34
Medicare Payment$117.72

Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $117.72 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$244$967915+59.0%
New Mexico$202$4202091+31.7%
Hawaii$195$48525156+27.4%
New Jersey$195$64784233+26.9%
Nevada$194$46021123+26.3%
Maryland$185$62386389+20.9%
California$184$5364651,718+20.3%
Vermont$174$569433+13.4%
Connecticut$172$58265121+11.9%
Virginia$169$509162565+10.4%
Massachusetts$164$632113262+6.9%
New York$163$673210512+6.3%
Oklahoma$162$44578206+5.7%
Washington$162$540104206+5.6%
District of Columbia$161$6341141+5.0%
Arizona$161$49498380+5.0%
Texas$160$490278855+4.5%
Utah$159$40645166+4.0%
Michigan$157$516141292+2.7%
Minnesota$157$67375123+2.4%
Kentucky$157$42682228+2.3%
Illinois$156$692233646+2.0%
North Dakota$155$4862654+1.3%
Montana$153$4932252+0.0%
Oregon$153$61976246-0.2%
Ohio$153$465188429-0.4%
Kansas$153$579107322-0.4%
Nebraska$151$48869244-1.5%
Wyoming$150$7341488-2.0%
Pennsylvania$150$520236556-2.3%
Idaho$149$4503185-2.6%
Alabama$148$454100425-3.6%
North Carolina$147$524162495-4.0%
Louisiana$146$65092292-4.6%
Tennessee$145$416139636-5.6%
Arkansas$145$44354137-5.6%
Colorado$145$58083270-5.7%
Delaware$144$4471548-6.2%
Florida$143$4974151,848-7.1%
New Hampshire$142$7472552-7.2%
Wisconsin$138$910103205-10.3%
Mississippi$134$72998480-12.8%
Iowa$134$77994209-12.9%
Indiana$132$560139498-14.2%
South Carolina$131$519100350-14.6%
West Virginia$129$47735151-15.9%
South Dakota$125$3703493-18.8%
Missouri$122$579122378-20.2%
Georgia$116$552136898-24.3%
Maine$116$5053050-24.7%

⚠️ 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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