Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm
Medicare pricing data for 58,014 providers across 52 states
This procedure has a 7.1x markup — hospitals charge $454.62 but Medicare allows only $63.78. Uninsured patients may face bills 7.1 times higher than what insurance negotiates. 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 repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS code 12002) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $63.78, but hospitals typically charge $454.62 — a 7.1x 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 $63.78, your out-of-pocket cost would be approximately $12.76. 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 7.1x more than what Medicare allows for this procedure. Medicare actually pays $47.64 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $80 | $635 | 158 | 329 | +25.5% |
| New York | $73 | $537 | 3,290 | 6,375 | +15.2% |
| New Jersey | $71 | $521 | 1,380 | 3,055 | +10.6% |
| Maryland | $70 | $417 | 1,107 | 2,681 | +9.4% |
| Wyoming | $70 | $381 | 121 | 232 | +9.1% |
| California | $69 | $436 | 4,740 | 10,523 | +8.4% |
| New Hampshire | $69 | $427 | 336 | 650 | +7.8% |
| Delaware | $68 | $357 | 228 | 546 | +7.4% |
| Washington | $68 | $413 | 1,126 | 2,216 | +5.9% |
| Florida | $66 | $522 | 3,741 | 9,160 | +3.9% |
| Rhode Island | $66 | $528 | 261 | 534 | +3.8% |
| Massachusetts | $66 | $361 | 1,517 | 3,456 | +3.5% |
| Illinois | $65 | $478 | 2,411 | 5,204 | +2.6% |
| Montana | $65 | $305 | 214 | 437 | +2.5% |
| Utah | $65 | $351 | 553 | 1,051 | +2.3% |
| Colorado | $65 | $421 | 1,041 | 1,914 | +2.1% |
| Hawaii | $65 | $392 | 177 | 418 | +1.7% |
| Virginia | $64 | $409 | 1,609 | 3,624 | +0.5% |
| Pennsylvania | $64 | $427 | 2,861 | 5,884 | +0.1% |
| Connecticut | $64 | $456 | 759 | 1,522 | +0.1% |
| Georgia | $64 | $445 | 1,716 | 3,533 | -0.1% |
| Nevada | $63 | $542 | 454 | 855 | -0.7% |
| Idaho | $63 | $291 | 350 | 682 | -0.8% |
| District of Columbia | $63 | $383 | 154 | 340 | -0.9% |
| North Dakota | $63 | $405 | 160 | 324 | -0.9% |
| Louisiana | $63 | $578 | 934 | 1,828 | -1.5% |
| Michigan | $63 | $435 | 2,183 | 4,293 | -1.5% |
| South Carolina | $62 | $424 | 1,243 | 3,055 | -2.3% |
| Oregon | $62 | $374 | 666 | 1,310 | -2.3% |
| New Mexico | $62 | $468 | 364 | 716 | -2.9% |
| Texas | $61 | $544 | 3,925 | 8,321 | -4.0% |
| West Virginia | $61 | $394 | 384 | 715 | -4.8% |
| Arizona | $61 | $456 | 1,118 | 2,526 | -4.8% |
| North Carolina | $60 | $391 | 2,133 | 4,577 | -5.4% |
| Iowa | $60 | $394 | 604 | 1,250 | -5.8% |
| Nebraska | $60 | $369 | 364 | 702 | -6.5% |
| Puerto Rico | $60 | $424 | 74 | 124 | -6.6% |
| Alabama | $59 | $402 | 847 | 1,777 | -7.2% |
| Oklahoma | $59 | $380 | 811 | 1,878 | -7.3% |
| Mississippi | $59 | $485 | 641 | 1,548 | -7.4% |
| Arkansas | $59 | $398 | 650 | 1,518 | -7.7% |
| Missouri | $59 | $408 | 1,148 | 2,583 | -7.8% |
| Minnesota | $59 | $528 | 1,067 | 1,865 | -7.8% |
| Maine | $59 | $363 | 317 | 590 | -8.0% |
| Tennessee | $58 | $438 | 1,330 | 2,949 | -8.4% |
| Ohio | $58 | $430 | 2,407 | 4,928 | -8.9% |
| South Dakota | $58 | $386 | 201 | 401 | -8.9% |
| Indiana | $58 | $431 | 1,311 | 2,861 | -9.0% |
| Vermont | $58 | $404 | 125 | 233 | -9.1% |
| Kentucky | $58 | $426 | 935 | 1,950 | -9.7% |
| Wisconsin | $58 | $642 | 1,122 | 2,061 | -9.8% |
| Kansas | $57 | $424 | 592 | 1,207 | -10.2% |
⚠️ 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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