11740

Removal of blood accumulation under fingernail or toenail

Medicare pricing data for 3,248 providers across 42 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 blood accumulation under fingernail or toenail (HCPCS code 11740) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $44.22, but hospitals typically charge $102.02 — a 2.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.84

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $44.22, your out-of-pocket cost would be approximately $8.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$44.22
Average Hospital Charge
$102.02
Markup Ratio
2.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$102.02
Medicare Allowed$44.22
Medicare Payment$33.21

Hospitals charge 2.3x more than what Medicare allows for this procedure. Medicare actually pays $33.21 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$65$146669+46.7%
Maryland$56$9182598+27.3%
New York$55$131292882+24.4%
New Jersey$55$112131410+24.2%
Delaware$54$1601626+21.7%
Georgia$50$12078162+13.3%
Michigan$50$133139538+12.3%
Maine$49$1321015+10.6%
Massachusetts$49$12094209+10.1%
South Carolina$48$1155059+8.8%
Florida$48$872873,135+8.3%
Kentucky$48$902794+8.3%
Arkansas$48$961222+7.9%
Colorado$47$1275689+7.0%
Connecticut$47$11147142+5.5%
New Hampshire$47$1421515+5.3%
Ohio$46$8790374+4.3%
Oklahoma$46$992226+3.3%
Pennsylvania$45$96159412+1.7%
Mississippi$45$1161919+0.8%
Virginia$44$8489385+0.5%
Idaho$44$1001011+0.0%
New Mexico$44$9715107-0.3%
North Carolina$44$1267594-0.5%
Missouri$44$8948159-0.7%
Utah$44$1042629-0.7%
Tennessee$44$1255666-0.9%
Montana$43$1361519-1.7%
Nebraska$43$1262128-2.2%
Illinois$43$921732,025-3.7%
Washington$42$1735051-4.1%
Minnesota$42$2005155-4.4%
Arizona$42$12764118-6.2%
Wisconsin$41$2315458-6.4%
California$41$1243361,645-7.4%
Oregon$40$1463555-9.8%
Texas$38$111176989-14.3%
Iowa$38$1602337-14.9%
Alabama$35$8227149-20.1%
Indiana$35$7654595-20.4%
Louisiana$35$7820385-21.0%
Nevada$34$82301,260-23.9%

⚠️ 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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