11643

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm

Medicare pricing data for 7,026 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 face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm (HCPCS code 11643) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $199.64, but hospitals typically charge $804.04 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$39.93

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $199.64, your out-of-pocket cost would be approximately $39.93. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$199.64
Average Hospital Charge
$804.04
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$804.04
Medicare Allowed$199.64
Medicare Payment$155.64

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $155.64 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Rhode Island$244$739814+22.3%
Alaska$232$1,6632455+16.2%
California$230$7686262,154+15.1%
New Hampshire$229$1,19540112+14.9%
Louisiana$229$616112327+14.9%
Washington$229$739129276+14.5%
Connecticut$223$83765179+11.7%
Colorado$223$780111344+11.6%
Hawaii$222$8021960+11.4%
Montana$222$6261854+11.4%
Oklahoma$220$72795258+10.3%
Michigan$219$653176411+9.6%
Massachusetts$219$961145571+9.5%
Nevada$219$6782896+9.5%
New Mexico$216$8163584+8.3%
Florida$215$7046362,891+7.8%
New York$215$901309862+7.7%
West Virginia$213$69844174+6.8%
Illinois$211$957267934+5.7%
Arizona$210$782147477+5.4%
Virginia$205$910204720+2.5%
Utah$203$5474989+1.7%
Minnesota$202$90288187+1.4%
Ohio$202$702263648+1.1%
Arkansas$202$62871173+1.1%
New Jersey$201$953146349+0.6%
Oregon$199$82083276-0.1%
North Carolina$199$706245653-0.4%
Texas$196$7304611,829-2.0%
Tennessee$194$734194491-2.7%
Wisconsin$193$1,464122278-3.4%
Maryland$192$797150723-3.9%
Idaho$191$61845223-4.1%
Kentucky$191$606125534-4.5%
Pennsylvania$190$704305946-4.7%
District of Columbia$189$954997-5.5%
Mississippi$188$1,160111500-5.6%
Alabama$188$640160410-5.9%
Missouri$186$831149449-7.1%
Kansas$172$853106286-13.7%
Georgia$171$8311921,086-14.2%
Maine$171$8313599-14.6%
Iowa$170$1,25598333-15.1%
South Dakota$168$4984099-15.6%
North Dakota$167$7572672-16.4%
Nebraska$166$754107431-16.9%
Indiana$165$1,087169671-17.2%
South Carolina$157$7391251,015-21.4%
Delaware$154$9343188-23.0%
Vermont$142$5761138-29.0%
Wyoming$134$95715240-33.1%

⚠️ 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