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
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $383 | $1,071 | 38 | 494 | +37.6% |
| New Jersey | $322 | $1,567 | 316 | 5,140 | +15.6% |
| New York | $320 | $1,549 | 597 | 12,221 | +14.8% |
| California | $314 | $1,135 | 1,289 | 29,059 | +12.8% |
| Puerto Rico | $314 | $502 | 11 | 109 | +12.6% |
| Florida | $308 | $1,022 | 1,172 | 41,004 | +10.3% |
| Virginia | $304 | $1,153 | 217 | 5,799 | +9.1% |
| Hawaii | $298 | $1,152 | 18 | 569 | +7.0% |
| South Carolina | $297 | $1,042 | 176 | 6,022 | +6.5% |
| Alaska | $293 | $1,606 | 9 | 123 | +5.2% |
| Colorado | $292 | $1,146 | 189 | 5,366 | +4.8% |
| Delaware | $291 | $837 | 38 | 1,158 | +4.3% |
| Nebraska | $290 | $1,252 | 82 | 1,279 | +3.9% |
| Maryland | $286 | $912 | 207 | 5,389 | +2.6% |
| Illinois | $281 | $1,381 | 336 | 7,622 | +1.0% |
| Massachusetts | $277 | $1,499 | 212 | 6,704 | -0.6% |
| Texas | $276 | $1,047 | 686 | 19,686 | -1.1% |
| West Virginia | $276 | $1,036 | 61 | 1,325 | -1.1% |
| Michigan | $276 | $1,049 | 246 | 4,371 | -1.2% |
| New Mexico | $275 | $1,133 | 55 | 761 | -1.2% |
| Arizona | $275 | $1,049 | 317 | 10,821 | -1.3% |
| Georgia | $272 | $1,124 | 340 | 11,145 | -2.3% |
| Oregon | $271 | $1,273 | 110 | 2,079 | -2.7% |
| Nevada | $270 | $972 | 89 | 3,213 | -3.1% |
| Connecticut | $270 | $1,231 | 92 | 2,031 | -3.3% |
| North Carolina | $264 | $1,048 | 291 | 9,039 | -5.4% |
| Iowa | $260 | $1,299 | 94 | 1,703 | -6.7% |
| Pennsylvania | $260 | $1,021 | 406 | 11,090 | -6.8% |
| Minnesota | $260 | $1,264 | 129 | 2,103 | -6.9% |
| Kentucky | $259 | $939 | 123 | 4,019 | -7.1% |
| Mississippi | $259 | $1,098 | 96 | 1,834 | -7.3% |
| Washington | $258 | $1,082 | 207 | 6,459 | -7.4% |
| Utah | $256 | $938 | 120 | 2,188 | -8.1% |
| Vermont | $256 | $722 | 14 | 169 | -8.1% |
| Wyoming | $249 | $1,143 | 20 | 1,066 | -10.7% |
| Ohio | $247 | $911 | 314 | 6,876 | -11.5% |
| Idaho | $246 | $922 | 68 | 1,313 | -11.9% |
| Indiana | $245 | $1,070 | 181 | 5,699 | -11.9% |
| Montana | $245 | $991 | 38 | 887 | -12.1% |
| Wisconsin | $243 | $1,972 | 164 | 3,623 | -12.7% |
| Rhode Island | $243 | $1,387 | 32 | 1,021 | -12.9% |
| Louisiana | $240 | $917 | 113 | 2,230 | -14.0% |
| Oklahoma | $239 | $988 | 90 | 2,181 | -14.3% |
| New Hampshire | $239 | $1,516 | 48 | 1,348 | -14.4% |
| Alabama | $238 | $1,059 | 184 | 5,970 | -14.7% |
| Missouri | $235 | $1,127 | 185 | 7,008 | -15.7% |
| Tennessee | $234 | $950 | 189 | 6,538 | -15.9% |
| Maine | $227 | $1,025 | 27 | 666 | -18.7% |
| Kansas | $225 | $1,071 | 132 | 4,118 | -19.3% |
| Arkansas | $216 | $888 | 96 | 4,037 | -22.5% |
| North Dakota | $207 | $799 | 33 | 1,024 | -25.9% |
| South Dakota | $204 | $661 | 42 | 1,665 | -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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