Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm
Medicare pricing data for 4,835 providers across 51 states
Prices vary significantly by location — from $177 in North Dakota to $394 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 eyelids, nose, ears, or lip, 1.1-2.5 cm (HCPCS code 13151) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $252.23, but hospitals typically charge $1,004 — 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 $252.23, your out-of-pocket cost would be approximately $50.45. 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 $199.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $394 | $1,083 | 9 | 106 | +56.1% |
| New York | $301 | $1,637 | 297 | 1,650 | +19.4% |
| New Jersey | $288 | $1,990 | 136 | 571 | +14.1% |
| Delaware | $284 | $792 | 12 | 89 | +12.5% |
| California | $277 | $952 | 572 | 3,242 | +9.9% |
| Florida | $267 | $935 | 521 | 4,458 | +6.0% |
| Virginia | $267 | $977 | 117 | 636 | +5.9% |
| Maryland | $260 | $769 | 86 | 600 | +3.2% |
| Colorado | $259 | $999 | 94 | 585 | +2.9% |
| Nebraska | $258 | $1,013 | 46 | 277 | +2.1% |
| Illinois | $257 | $1,123 | 161 | 983 | +2.0% |
| Wyoming | $257 | $867 | 10 | 79 | +2.0% |
| Pennsylvania | $256 | $999 | 212 | 968 | +1.7% |
| Connecticut | $256 | $1,162 | 44 | 229 | +1.5% |
| Oregon | $255 | $1,138 | 51 | 315 | +1.2% |
| Arizona | $254 | $894 | 147 | 957 | +0.7% |
| Hawaii | $250 | $963 | 11 | 47 | -0.9% |
| Mississippi | $250 | $800 | 52 | 290 | -0.9% |
| South Carolina | $250 | $799 | 83 | 543 | -0.9% |
| Alaska | $248 | $1,442 | 2 | 23 | -1.6% |
| Georgia | $245 | $1,008 | 160 | 1,221 | -2.8% |
| Puerto Rico | $244 | $431 | 7 | 20 | -3.1% |
| Nevada | $242 | $811 | 36 | 204 | -4.0% |
| North Carolina | $240 | $887 | 140 | 796 | -4.8% |
| Washington | $240 | $921 | 107 | 575 | -4.8% |
| Texas | $240 | $947 | 301 | 1,728 | -5.0% |
| Michigan | $235 | $926 | 103 | 618 | -6.8% |
| Iowa | $235 | $1,137 | 56 | 368 | -6.9% |
| Rhode Island | $234 | $940 | 8 | 79 | -7.3% |
| Kansas | $234 | $894 | 63 | 271 | -7.4% |
| Kentucky | $233 | $809 | 55 | 390 | -7.7% |
| Massachusetts | $232 | $1,210 | 102 | 587 | -8.2% |
| Missouri | $231 | $946 | 105 | 619 | -8.6% |
| Idaho | $230 | $734 | 31 | 163 | -8.7% |
| Louisiana | $228 | $785 | 44 | 291 | -9.4% |
| Minnesota | $228 | $1,077 | 77 | 268 | -9.6% |
| New Mexico | $228 | $895 | 19 | 143 | -9.7% |
| Ohio | $226 | $826 | 137 | 836 | -10.5% |
| Indiana | $225 | $885 | 85 | 456 | -10.8% |
| Montana | $224 | $783 | 14 | 134 | -11.4% |
| Maine | $219 | $1,108 | 7 | 28 | -13.2% |
| Wisconsin | $217 | $1,448 | 74 | 317 | -14.0% |
| West Virginia | $215 | $820 | 17 | 104 | -14.7% |
| Alabama | $214 | $736 | 75 | 372 | -15.0% |
| Oklahoma | $212 | $886 | 43 | 335 | -16.1% |
| Tennessee | $211 | $827 | 109 | 802 | -16.3% |
| Arkansas | $209 | $1,098 | 44 | 518 | -17.0% |
| New Hampshire | $208 | $1,095 | 13 | 65 | -17.6% |
| Utah | $204 | $849 | 50 | 363 | -19.0% |
| South Dakota | $183 | $639 | 21 | 140 | -27.6% |
| North Dakota | $177 | $665 | 14 | 60 | -29.7% |
⚠️ 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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