13132

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm

Medicare pricing data for 10,362 providers across 52 states

🤖AI Overview

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 forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS code 13132) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $278.76, but hospitals typically charge $1,118 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$55.75

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $278.76, your out-of-pocket cost would be approximately $55.75. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$278.76
Average Hospital Charge
$1,118
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,117.65
Medicare Allowed$278.76
Medicare Payment$220.54

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $220.54 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$383$1,07138494+37.6%
New Jersey$322$1,5673165,140+15.6%
New York$320$1,54959712,221+14.8%
California$314$1,1351,28929,059+12.8%
Puerto Rico$314$50211109+12.6%
Florida$308$1,0221,17241,004+10.3%
Virginia$304$1,1532175,799+9.1%
Hawaii$298$1,15218569+7.0%
South Carolina$297$1,0421766,022+6.5%
Alaska$293$1,6069123+5.2%
Colorado$292$1,1461895,366+4.8%
Delaware$291$837381,158+4.3%
Nebraska$290$1,252821,279+3.9%
Maryland$286$9122075,389+2.6%
Illinois$281$1,3813367,622+1.0%
Massachusetts$277$1,4992126,704-0.6%
Texas$276$1,04768619,686-1.1%
West Virginia$276$1,036611,325-1.1%
Michigan$276$1,0492464,371-1.2%
New Mexico$275$1,13355761-1.2%
Arizona$275$1,04931710,821-1.3%
Georgia$272$1,12434011,145-2.3%
Oregon$271$1,2731102,079-2.7%
Nevada$270$972893,213-3.1%
Connecticut$270$1,231922,031-3.3%
North Carolina$264$1,0482919,039-5.4%
Iowa$260$1,299941,703-6.7%
Pennsylvania$260$1,02140611,090-6.8%
Minnesota$260$1,2641292,103-6.9%
Kentucky$259$9391234,019-7.1%
Mississippi$259$1,098961,834-7.3%
Washington$258$1,0822076,459-7.4%
Utah$256$9381202,188-8.1%
Vermont$256$72214169-8.1%
Wyoming$249$1,143201,066-10.7%
Ohio$247$9113146,876-11.5%
Idaho$246$922681,313-11.9%
Indiana$245$1,0701815,699-11.9%
Montana$245$99138887-12.1%
Wisconsin$243$1,9721643,623-12.7%
Rhode Island$243$1,387321,021-12.9%
Louisiana$240$9171132,230-14.0%
Oklahoma$239$988902,181-14.3%
New Hampshire$239$1,516481,348-14.4%
Alabama$238$1,0591845,970-14.7%
Missouri$235$1,1271857,008-15.7%
Tennessee$234$9501896,538-15.9%
Maine$227$1,02527666-18.7%
Kansas$225$1,0711324,118-19.3%
Arkansas$216$888964,037-22.5%
North Dakota$207$799331,024-25.9%
South Dakota$204$661421,665-26.9%

⚠️ 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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