Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
Medicare pricing data for 25,492 providers across 52 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
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS code 12032) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $251.03, but hospitals typically charge $677.01 — a 2.7x 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 $251.03, your out-of-pocket cost would be approximately $50.21. 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 2.7x more than what Medicare allows for this procedure. Medicare actually pays $193.79 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $306 | $607 | 56 | 689 | +21.7% |
| California | $292 | $731 | 2,301 | 27,529 | +16.4% |
| Hawaii | $288 | $669 | 97 | 988 | +14.9% |
| Alaska | $287 | $1,035 | 48 | 449 | +14.4% |
| New Jersey | $279 | $854 | 649 | 7,997 | +11.1% |
| Connecticut | $274 | $853 | 284 | 3,522 | +9.1% |
| Massachusetts | $269 | $942 | 739 | 12,020 | +7.2% |
| Colorado | $268 | $718 | 473 | 4,996 | +6.9% |
| Maryland | $267 | $655 | 524 | 8,927 | +6.3% |
| Washington | $266 | $685 | 571 | 6,913 | +6.0% |
| Puerto Rico | $263 | $410 | 24 | 72 | +4.8% |
| Illinois | $262 | $726 | 1,032 | 12,328 | +4.2% |
| Oregon | $259 | $794 | 352 | 4,377 | +3.0% |
| Florida | $258 | $604 | 2,188 | 37,643 | +2.9% |
| Nevada | $258 | $656 | 184 | 2,114 | +2.8% |
| New York | $255 | $865 | 1,213 | 10,593 | +1.5% |
| Virginia | $254 | $602 | 718 | 13,213 | +1.3% |
| Rhode Island | $252 | $866 | 118 | 1,439 | +0.4% |
| Arizona | $250 | $654 | 537 | 10,177 | -0.3% |
| Texas | $250 | $662 | 1,662 | 23,905 | -0.4% |
| North Carolina | $250 | $622 | 890 | 15,109 | -0.4% |
| Delaware | $250 | $565 | 131 | 1,505 | -0.6% |
| Michigan | $248 | $651 | 772 | 7,257 | -1.1% |
| Montana | $248 | $589 | 103 | 1,624 | -1.3% |
| Pennsylvania | $247 | $581 | 1,159 | 14,320 | -1.6% |
| South Carolina | $245 | $577 | 474 | 10,671 | -2.5% |
| Louisiana | $240 | $583 | 361 | 3,669 | -4.3% |
| Utah | $239 | $560 | 263 | 2,654 | -4.8% |
| Nebraska | $238 | $703 | 192 | 2,252 | -5.0% |
| Georgia | $237 | $652 | 687 | 12,912 | -5.6% |
| New Hampshire | $235 | $931 | 167 | 2,065 | -6.4% |
| Ohio | $234 | $631 | 921 | 11,942 | -6.9% |
| Minnesota | $234 | $849 | 498 | 4,966 | -7.0% |
| Kansas | $233 | $671 | 305 | 4,879 | -7.1% |
| Oklahoma | $229 | $624 | 328 | 3,672 | -8.9% |
| Mississippi | $229 | $585 | 277 | 3,605 | -8.9% |
| Missouri | $229 | $636 | 527 | 5,487 | -8.9% |
| Maine | $227 | $663 | 113 | 1,006 | -9.5% |
| Alabama | $227 | $559 | 338 | 5,530 | -9.6% |
| Kentucky | $225 | $564 | 358 | 4,364 | -10.4% |
| Tennessee | $224 | $588 | 586 | 8,495 | -10.6% |
| Idaho | $224 | $589 | 169 | 2,543 | -10.8% |
| Iowa | $222 | $787 | 301 | 3,942 | -11.6% |
| Arkansas | $219 | $533 | 250 | 3,830 | -12.6% |
| Wyoming | $218 | $630 | 38 | 863 | -13.0% |
| Indiana | $218 | $641 | 483 | 5,556 | -13.3% |
| West Virginia | $217 | $580 | 145 | 1,878 | -13.5% |
| Wisconsin | $217 | $1,027 | 519 | 5,285 | -13.8% |
| New Mexico | $216 | $655 | 132 | 1,328 | -14.0% |
| Vermont | $210 | $512 | 63 | 648 | -16.5% |
| South Dakota | $192 | $551 | 89 | 963 | -23.3% |
| North Dakota | $187 | $486 | 72 | 673 | -25.4% |
⚠️ 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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