11750

Permanent removal fingernail or toenail

Medicare pricing data for 16,647 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

Permanent removal fingernail or toenail (HCPCS code 11750) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $140.30, but hospitals typically charge $419.72 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$28.06

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $140.30, your out-of-pocket cost would be approximately $28.06. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$140.30
Average Hospital Charge
$419.72
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$419.72
Medicare Allowed$140.30
Medicare Payment$104.21

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $104.21 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$179$40916140+27.3%
New Jersey$165$5205672,834+17.7%
New York$163$4049204,759+16.3%
Maryland$161$3433183,632+15.0%
Hawaii$161$37631219+14.5%
California$160$4281,47914,364+14.0%
Connecticut$158$436180821+12.4%
Massachusetts$157$4643102,692+12.2%
Rhode Island$157$35759389+11.6%
Delaware$149$45871638+6.1%
Virginia$148$3774323,993+5.7%
Puerto Rico$147$16831185+4.8%
Florida$147$3581,07311,706+4.4%
Colorado$145$4233152,810+3.1%
Wyoming$144$43833401+2.6%
Nevada$143$4161371,256+2.0%
Texas$141$4361,13511,467+0.3%
Illinois$141$4437345,506+0.2%
Georgia$141$5174314,491+0.1%
New Hampshire$140$46463574+0.1%
Alaska$140$96146235-0.3%
Arizona$139$3644315,230-1.0%
Oregon$139$4362152,368-1.2%
Michigan$139$3316034,445-1.2%
Pennsylvania$138$4007964,757-1.5%
Washington$138$3923683,471-1.8%
North Carolina$137$3954505,299-2.2%
Montana$134$40694791-4.8%
South Carolina$133$3862503,276-5.4%
Tennessee$131$4043724,318-6.6%
Utah$131$4362432,153-6.6%
Ohio$131$4067094,974-6.9%
New Mexico$130$4051251,139-7.5%
Kansas$129$4241921,878-8.4%
Oklahoma$128$3462142,545-8.6%
Indiana$127$4894194,132-9.6%
Mississippi$127$4021271,087-9.7%
Kentucky$127$3392102,272-9.8%
Missouri$127$4203033,250-9.8%
Iowa$126$4852642,848-9.9%
Alabama$126$3641952,297-9.9%
Arkansas$126$3771622,275-10.4%
Louisiana$126$4892402,437-10.5%
Minnesota$124$5263132,043-11.5%
Wisconsin$124$7663222,351-11.9%
Idaho$123$3621311,255-12.2%
Maine$122$34548311-13.2%
West Virginia$118$36592514-16.0%
Nebraska$117$4691751,512-16.5%
Vermont$116$29331191-17.0%
South Dakota$115$31468819-17.8%
North Dakota$98$50365788-30.5%

⚠️ 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