11642

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm

Medicare pricing data for 9,713 providers across 52 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 face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS code 11642) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $152.36, but hospitals typically charge $625.99 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$30.47

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $152.36, your out-of-pocket cost would be approximately $30.47. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$152.36
Average Hospital Charge
$625.99
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$625.99
Medicare Allowed$152.36
Medicare Payment$118.63

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $118.63 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$190$830186671+24.7%
Nevada$188$54462318+23.1%
California$184$5758406,168+21.1%
Alaska$182$1,3423183+19.7%
Connecticut$177$748107348+16.0%
District of Columbia$169$69017173+11.2%
Hawaii$169$65042224+11.0%
New York$166$7183961,617+9.2%
Maryland$164$7371961,315+7.6%
Washington$161$617189709+5.5%
Puerto Rico$161$291933+5.4%
North Dakota$161$69040121+5.4%
Massachusetts$159$8131911,133+4.2%
Colorado$158$663169691+4.0%
Arizona$158$6321951,372+3.9%
Minnesota$157$745137351+3.3%
Rhode Island$156$6181945+2.1%
Virginia$155$6562681,873+2.0%
Florida$154$5528608,160+1.1%
Illinois$154$7733522,143+0.8%
New Hampshire$150$1,00960177-1.8%
Wisconsin$150$1,130185735-1.8%
New Mexico$150$66552282-1.8%
Oregon$150$674137857-1.9%
Texas$150$5586344,121-1.9%
Michigan$149$588261994-2.1%
West Virginia$149$57672265-2.3%
Nebraska$149$5711381,060-2.4%
Pennsylvania$147$5684222,357-3.6%
Tennessee$146$5302411,222-4.3%
Oklahoma$145$518150686-4.5%
North Carolina$145$5483322,171-4.6%
Ohio$145$6003331,620-4.9%
Arkansas$144$54092380-5.4%
Georgia$142$6362672,330-6.9%
Utah$142$48376398-7.0%
Montana$141$64547294-7.6%
Alabama$141$4951901,423-7.7%
Vermont$141$42820166-7.8%
Kentucky$140$496164853-8.0%
Indiana$139$7802461,453-8.5%
Kansas$139$602169801-9.1%
Louisiana$138$560170965-9.2%
South Carolina$133$5911891,887-12.4%
Delaware$132$66442231-13.4%
Idaho$132$53473549-13.6%
Maine$131$64351203-13.9%
Iowa$130$851147795-14.4%
Mississippi$130$8131461,538-14.6%
Wyoming$129$62221421-15.4%
Missouri$127$7152061,316-16.6%
South Dakota$122$39660238-19.8%

⚠️ 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