Simple separation of fingernail or toenail from nail bed, each additional nail
Medicare pricing data for 4,114 providers across 47 states
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
Simple separation of fingernail or toenail from nail bed, each additional nail (HCPCS code 11732) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $32.39, but hospitals typically charge $82.44 — a 2.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $32.39, your out-of-pocket cost would be approximately $6.48. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.5x more than what Medicare allows for this procedure. Medicare actually pays $24.93 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $40 | $153 | 10 | 30 | +24.9% |
| New York | $38 | $101 | 319 | 1,508 | +18.8% |
| New Jersey | $37 | $93 | 149 | 1,282 | +13.4% |
| Connecticut | $36 | $108 | 34 | 98 | +11.7% |
| Maryland | $36 | $105 | 68 | 184 | +11.3% |
| District of Columbia | $36 | $80 | 7 | 11 | +10.9% |
| Massachusetts | $35 | $98 | 93 | 284 | +7.9% |
| California | $35 | $85 | 379 | 4,531 | +6.6% |
| Rhode Island | $34 | $116 | 10 | 19 | +6.1% |
| Delaware | $34 | $102 | 14 | 32 | +4.4% |
| Colorado | $34 | $85 | 72 | 225 | +4.0% |
| Illinois | $33 | $89 | 195 | 1,538 | +3.2% |
| Michigan | $33 | $64 | 190 | 1,411 | +2.7% |
| Pennsylvania | $33 | $84 | 241 | 1,703 | +2.3% |
| Florida | $33 | $66 | 298 | 1,786 | +1.5% |
| Montana | $33 | $92 | 19 | 31 | +0.4% |
| Washington | $32 | $92 | 100 | 332 | +0.2% |
| Arizona | $32 | $71 | 108 | 567 | +0.2% |
| New Mexico | $32 | $99 | 30 | 75 | -0.9% |
| Maine | $32 | $119 | 11 | 26 | -0.9% |
| Virginia | $32 | $85 | 95 | 271 | -1.3% |
| Nevada | $32 | $79 | 36 | 187 | -2.6% |
| Texas | $31 | $96 | 217 | 647 | -3.1% |
| Utah | $31 | $79 | 48 | 150 | -3.2% |
| Oregon | $31 | $86 | 36 | 72 | -3.6% |
| North Carolina | $31 | $86 | 108 | 390 | -5.0% |
| Ohio | $31 | $86 | 124 | 442 | -5.1% |
| Oklahoma | $31 | $80 | 40 | 189 | -5.7% |
| Arkansas | $30 | $51 | 28 | 181 | -7.3% |
| Nebraska | $30 | $74 | 42 | 331 | -7.3% |
| Louisiana | $30 | $92 | 41 | 239 | -7.7% |
| Indiana | $30 | $76 | 84 | 456 | -7.8% |
| Idaho | $30 | $88 | 22 | 78 | -8.0% |
| Mississippi | $29 | $116 | 20 | 112 | -9.1% |
| Minnesota | $29 | $109 | 58 | 114 | -10.4% |
| South Carolina | $29 | $58 | 63 | 361 | -11.2% |
| Kentucky | $28 | $68 | 59 | 125 | -12.1% |
| Georgia | $28 | $109 | 92 | 1,137 | -12.7% |
| Iowa | $28 | $94 | 57 | 102 | -14.8% |
| Wisconsin | $27 | $154 | 74 | 156 | -16.0% |
| Kansas | $27 | $40 | 51 | 488 | -16.6% |
| Tennessee | $27 | $48 | 80 | 643 | -17.4% |
| North Dakota | $26 | $108 | 7 | 12 | -18.7% |
| New Hampshire | $26 | $103 | 7 | 16 | -20.5% |
| West Virginia | $25 | $84 | 20 | 49 | -23.3% |
| Alabama | $24 | $43 | 50 | 508 | -25.2% |
| Missouri | $22 | $63 | 65 | 282 | -32.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber