Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less
Medicare pricing data for 2,040 providers across 49 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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, each additional 5.0 cm or less (HCPCS code 13133) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $164.37, but hospitals typically charge $412.43 — a 2.5x 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 $164.37, your out-of-pocket cost would be approximately $32.87. 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 2.5x more than what Medicare allows for this procedure. Medicare actually pays $131.26 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $183 | $537 | 95 | 347 | +11.5% |
| Maryland | $182 | $350 | 22 | 118 | +11.0% |
| California | $179 | $350 | 231 | 1,088 | +8.8% |
| Hawaii | $177 | $450 | 9 | 34 | +8.0% |
| New Jersey | $177 | $570 | 42 | 254 | +7.5% |
| Massachusetts | $173 | $544 | 44 | 225 | +5.5% |
| Illinois | $170 | $542 | 57 | 322 | +3.6% |
| Delaware | $170 | $302 | 11 | 33 | +3.5% |
| Colorado | $170 | $389 | 51 | 248 | +3.4% |
| Florida | $169 | $381 | 274 | 1,096 | +2.5% |
| Pennsylvania | $167 | $397 | 70 | 272 | +1.7% |
| Washington | $167 | $363 | 48 | 172 | +1.7% |
| Montana | $167 | $374 | 10 | 23 | +1.7% |
| Connecticut | $166 | $459 | 17 | 77 | +1.0% |
| Virginia | $165 | $402 | 47 | 254 | +0.2% |
| Minnesota | $164 | $475 | 26 | 88 | 0.0% |
| Oregon | $164 | $479 | 21 | 76 | -0.1% |
| Texas | $164 | $429 | 160 | 963 | -0.1% |
| Nevada | $164 | $348 | 28 | 174 | -0.5% |
| Michigan | $163 | $375 | 48 | 143 | -1.0% |
| Louisiana | $160 | $337 | 23 | 130 | -2.6% |
| Rhode Island | $160 | $447 | 8 | 36 | -3.0% |
| Arizona | $159 | $353 | 60 | 210 | -3.1% |
| Ohio | $159 | $348 | 53 | 203 | -3.3% |
| Georgia | $158 | $462 | 65 | 425 | -3.6% |
| North Carolina | $158 | $397 | 69 | 370 | -3.8% |
| Kentucky | $157 | $338 | 21 | 106 | -4.5% |
| South Carolina | $157 | $414 | 39 | 274 | -4.6% |
| Alabama | $157 | $362 | 33 | 204 | -4.7% |
| Oklahoma | $156 | $314 | 18 | 95 | -5.4% |
| New Hampshire | $155 | $516 | 13 | 31 | -5.5% |
| Arkansas | $155 | $323 | 22 | 134 | -5.7% |
| West Virginia | $154 | $385 | 9 | 39 | -6.3% |
| Missouri | $154 | $335 | 33 | 189 | -6.3% |
| Utah | $152 | $296 | 26 | 120 | -7.6% |
| Tennessee | $151 | $286 | 49 | 166 | -7.9% |
| Indiana | $151 | $434 | 36 | 192 | -8.0% |
| Nebraska | $151 | $412 | 13 | 25 | -8.2% |
| Iowa | $150 | $585 | 10 | 34 | -9.0% |
| Kansas | $149 | $311 | 14 | 45 | -9.1% |
| South Dakota | $146 | $236 | 11 | 52 | -11.3% |
| Maine | $146 | $366 | 4 | 30 | -11.3% |
| New Mexico | $140 | $407 | 6 | 15 | -14.6% |
| Wisconsin | $140 | $827 | 41 | 251 | -14.6% |
| Idaho | $138 | $348 | 17 | 80 | -15.8% |
| Mississippi | $137 | $334 | 14 | 67 | -16.7% |
| North Dakota | $131 | $248 | 7 | 89 | -20.1% |
| Wyoming | $121 | $406 | 2 | 26 | -26.3% |
| Vermont | $117 | $322 | 7 | 13 | -28.8% |
⚠️ 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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