Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less
Medicare pricing data for 10,217 providers across 51 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 neck, hands, feet, or genitals, 2.5 cm or less (HCPCS code 12041) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $197.63, but hospitals typically charge $609.41 — a 3.1x 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 $197.63, your out-of-pocket cost would be approximately $39.53. 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 3.1x more than what Medicare allows for this procedure. Medicare actually pays $150.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $280 | $609 | 16 | 31 | +41.6% |
| Hawaii | $252 | $524 | 30 | 103 | +27.4% |
| California | $240 | $618 | 965 | 2,057 | +21.3% |
| Maryland | $221 | $576 | 230 | 539 | +11.7% |
| Alaska | $220 | $1,470 | 28 | 38 | +11.1% |
| New Jersey | $218 | $711 | 233 | 452 | +10.3% |
| New York | $212 | $693 | 426 | 686 | +7.1% |
| Colorado | $212 | $629 | 194 | 360 | +7.0% |
| Washington | $209 | $599 | 228 | 393 | +5.8% |
| Oregon | $208 | $663 | 162 | 341 | +5.2% |
| Delaware | $206 | $585 | 56 | 88 | +4.4% |
| Texas | $206 | $640 | 717 | 1,458 | +4.2% |
| Wyoming | $205 | $614 | 28 | 73 | +3.5% |
| Connecticut | $203 | $618 | 98 | 231 | +2.9% |
| Pennsylvania | $199 | $529 | 463 | 913 | +0.9% |
| Nevada | $199 | $587 | 76 | 120 | +0.6% |
| North Dakota | $198 | $567 | 18 | 45 | +0.4% |
| Virginia | $198 | $536 | 294 | 674 | +0.1% |
| South Carolina | $198 | $567 | 195 | 365 | +0.0% |
| Florida | $196 | $619 | 850 | 1,798 | -0.9% |
| Louisiana | $195 | $572 | 152 | 288 | -1.4% |
| Mississippi | $192 | $575 | 110 | 341 | -2.8% |
| Massachusetts | $191 | $714 | 281 | 594 | -3.2% |
| North Carolina | $191 | $558 | 338 | 618 | -3.3% |
| Illinois | $191 | $673 | 371 | 742 | -3.4% |
| Arizona | $191 | $537 | 215 | 572 | -3.4% |
| Michigan | $190 | $573 | 296 | 527 | -3.8% |
| Ohio | $189 | $595 | 380 | 745 | -4.4% |
| New Hampshire | $189 | $707 | 50 | 81 | -4.4% |
| Utah | $185 | $464 | 109 | 218 | -6.2% |
| Nebraska | $185 | $566 | 68 | 131 | -6.3% |
| West Virginia | $184 | $516 | 57 | 130 | -6.8% |
| Georgia | $183 | $598 | 308 | 743 | -7.6% |
| Kansas | $181 | $566 | 121 | 238 | -8.3% |
| Iowa | $180 | $663 | 125 | 223 | -8.7% |
| Missouri | $180 | $617 | 220 | 390 | -9.2% |
| Kentucky | $178 | $520 | 130 | 227 | -9.8% |
| Oklahoma | $178 | $589 | 157 | 284 | -10.1% |
| Tennessee | $175 | $568 | 237 | 464 | -11.4% |
| Rhode Island | $172 | $667 | 41 | 64 | -12.9% |
| Alabama | $172 | $505 | 128 | 286 | -12.9% |
| New Mexico | $171 | $600 | 58 | 101 | -13.3% |
| Montana | $171 | $480 | 54 | 118 | -13.4% |
| Maine | $171 | $613 | 50 | 67 | -13.6% |
| Arkansas | $169 | $638 | 104 | 153 | -14.4% |
| Idaho | $169 | $481 | 73 | 161 | -14.5% |
| Minnesota | $168 | $757 | 174 | 344 | -15.2% |
| Indiana | $166 | $533 | 212 | 475 | -16.0% |
| Wisconsin | $165 | $874 | 188 | 346 | -16.7% |
| Vermont | $154 | $596 | 27 | 38 | -22.0% |
| South Dakota | $153 | $564 | 38 | 108 | -22.3% |
⚠️ 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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