Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm
Medicare pricing data for 2,495 providers across 46 states
Prices vary significantly by location — from $157 in South Dakota to $379 in District of Columbia. Where you get this procedure matters more than almost any other factor. 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 scalp, arms, or legs, 1.1-2.5 cm (HCPCS code 13120) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $275.47, but hospitals typically charge $746.94 — 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 $275.47, your out-of-pocket cost would be approximately $55.09. 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 $215.15 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $379 | $1,023 | 7 | 128 | +37.6% |
| New York | $317 | $1,132 | 156 | 634 | +14.9% |
| Delaware | $312 | $864 | 8 | 23 | +13.1% |
| Hawaii | $307 | $797 | 6 | 11 | +11.6% |
| Pennsylvania | $300 | $699 | 74 | 223 | +9.0% |
| California | $298 | $695 | 405 | 1,842 | +8.3% |
| Virginia | $293 | $1,067 | 50 | 141 | +6.2% |
| Kansas | $292 | $794 | 20 | 39 | +6.1% |
| Nevada | $288 | $773 | 43 | 135 | +4.5% |
| Florida | $286 | $668 | 414 | 2,907 | +3.8% |
| Oregon | $285 | $800 | 31 | 89 | +3.6% |
| Maryland | $282 | $712 | 35 | 100 | +2.3% |
| New Jersey | $277 | $815 | 73 | 335 | +0.5% |
| Michigan | $268 | $799 | 46 | 109 | -2.9% |
| Arizona | $267 | $672 | 111 | 377 | -3.2% |
| Wisconsin | $263 | $1,066 | 16 | 34 | -4.7% |
| South Carolina | $257 | $773 | 38 | 101 | -6.7% |
| Texas | $256 | $709 | 133 | 446 | -7.1% |
| Louisiana | $255 | $619 | 21 | 76 | -7.3% |
| Illinois | $255 | $1,003 | 86 | 291 | -7.5% |
| Georgia | $254 | $804 | 90 | 260 | -7.7% |
| North Carolina | $254 | $744 | 50 | 131 | -7.7% |
| Colorado | $253 | $855 | 52 | 171 | -8.1% |
| Idaho | $250 | $625 | 16 | 29 | -9.3% |
| Connecticut | $250 | $935 | 15 | 25 | -9.3% |
| Massachusetts | $246 | $1,037 | 39 | 118 | -10.6% |
| Washington | $246 | $720 | 55 | 151 | -10.9% |
| Indiana | $245 | $703 | 31 | 80 | -11.0% |
| Tennessee | $236 | $590 | 45 | 241 | -14.3% |
| Missouri | $232 | $762 | 33 | 112 | -15.6% |
| Minnesota | $230 | $841 | 14 | 26 | -16.6% |
| Ohio | $230 | $596 | 61 | 212 | -16.7% |
| Rhode Island | $229 | $755 | 6 | 56 | -16.9% |
| Iowa | $220 | $829 | 14 | 38 | -20.3% |
| Utah | $219 | $624 | 22 | 67 | -20.7% |
| Nebraska | $218 | $828 | 14 | 34 | -20.8% |
| Mississippi | $216 | $625 | 14 | 50 | -21.4% |
| Oklahoma | $212 | $789 | 18 | 108 | -23.1% |
| Kentucky | $205 | $628 | 18 | 77 | -25.5% |
| Montana | $203 | $579 | 5 | 15 | -26.3% |
| Arkansas | $203 | $625 | 16 | 67 | -26.4% |
| Alabama | $202 | $661 | 27 | 87 | -26.5% |
| New Mexico | $200 | $659 | 14 | 54 | -27.4% |
| West Virginia | $188 | $555 | 14 | 97 | -31.8% |
| New Hampshire | $187 | $738 | 10 | 18 | -32.2% |
| South Dakota | $157 | $868 | 8 | 22 | -43.1% |
⚠️ 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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