Complicated repair of wound of trunk, each additional 5.0 cm or less
Medicare pricing data for 4,830 providers across 50 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
Complicated repair of wound of trunk, each additional 5.0 cm or less (HCPCS code 13102) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $92.87, but hospitals typically charge $415.65 — a 4.5x 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 $92.87, your out-of-pocket cost would be approximately $18.57. 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 4.5x more than what Medicare allows for this procedure. Medicare actually pays $74.11 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $120 | $308 | 11 | 28 | +29.0% |
| California | $105 | $437 | 535 | 2,254 | +12.6% |
| New Mexico | $104 | $313 | 7 | 17 | +11.8% |
| Florida | $103 | $258 | 556 | 2,422 | +11.3% |
| Nevada | $103 | $237 | 59 | 215 | +11.1% |
| Massachusetts | $103 | $368 | 108 | 479 | +11.0% |
| New York | $102 | $1,110 | 287 | 1,391 | +9.6% |
| Idaho | $102 | $206 | 15 | 32 | +9.4% |
| West Virginia | $100 | $254 | 20 | 53 | +7.8% |
| Connecticut | $100 | $362 | 44 | 173 | +7.8% |
| Maine | $98 | $274 | 7 | 12 | +5.5% |
| Colorado | $96 | $288 | 96 | 360 | +3.8% |
| Illinois | $96 | $406 | 178 | 821 | +3.3% |
| Washington | $95 | $250 | 121 | 463 | +2.3% |
| Virginia | $93 | $341 | 115 | 513 | +0.4% |
| New Jersey | $93 | $1,183 | 133 | 725 | +0.3% |
| Michigan | $93 | $283 | 118 | 369 | -0.3% |
| North Carolina | $92 | $299 | 140 | 573 | -0.7% |
| Arizona | $92 | $255 | 154 | 701 | -0.7% |
| Georgia | $92 | $317 | 154 | 788 | -1.4% |
| Alaska | $91 | $1,472 | 6 | 11 | -1.9% |
| Maryland | $91 | $326 | 100 | 586 | -2.3% |
| Alabama | $91 | $267 | 65 | 309 | -2.3% |
| Utah | $91 | $195 | 43 | 130 | -2.4% |
| Pennsylvania | $89 | $326 | 197 | 762 | -4.4% |
| Texas | $88 | $341 | 328 | 1,796 | -4.7% |
| Delaware | $88 | $248 | 18 | 126 | -4.8% |
| Minnesota | $88 | $433 | 64 | 189 | -5.0% |
| South Carolina | $88 | $240 | 85 | 355 | -5.2% |
| North Dakota | $88 | $196 | 9 | 30 | -5.6% |
| Oklahoma | $87 | $233 | 35 | 123 | -6.1% |
| Oregon | $87 | $318 | 47 | 127 | -6.5% |
| District of Columbia | $85 | $257 | 19 | 179 | -8.3% |
| Kentucky | $84 | $242 | 60 | 246 | -9.4% |
| Arkansas | $83 | $229 | 40 | 134 | -10.2% |
| Tennessee | $83 | $230 | 101 | 356 | -10.5% |
| South Dakota | $83 | $212 | 21 | 109 | -10.8% |
| Wisconsin | $82 | $512 | 78 | 295 | -11.7% |
| Ohio | $82 | $337 | 160 | 591 | -11.9% |
| Missouri | $82 | $387 | 95 | 547 | -12.0% |
| New Hampshire | $81 | $278 | 18 | 48 | -13.0% |
| Montana | $80 | $205 | 20 | 68 | -13.9% |
| Indiana | $79 | $293 | 82 | 524 | -15.2% |
| Nebraska | $79 | $408 | 21 | 68 | -15.2% |
| Iowa | $78 | $375 | 36 | 127 | -16.3% |
| Mississippi | $78 | $299 | 45 | 148 | -16.5% |
| Rhode Island | $78 | $275 | 22 | 282 | -16.5% |
| Louisiana | $75 | $864 | 51 | 518 | -19.2% |
| Kansas | $74 | $288 | 57 | 248 | -20.3% |
| Wyoming | $69 | $331 | 4 | 15 | -25.3% |
⚠️ 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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