Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm
Medicare pricing data for 5,732 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 eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS code 13152) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $280.73, but hospitals typically charge $1,291 — a 4.6x 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 $280.73, your out-of-pocket cost would be approximately $56.15. 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 4.6x more than what Medicare allows for this procedure. Medicare actually pays $222.35 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $339 | $2,392 | 338 | 2,256 | +20.9% |
| New Jersey | $333 | $3,463 | 171 | 829 | +18.6% |
| District of Columbia | $331 | $1,143 | 18 | 53 | +17.8% |
| Delaware | $330 | $903 | 11 | 109 | +17.5% |
| California | $325 | $1,279 | 618 | 4,519 | +15.9% |
| Florida | $310 | $1,117 | 598 | 6,555 | +10.3% |
| Virginia | $301 | $1,155 | 144 | 1,532 | +7.4% |
| Connecticut | $299 | $1,370 | 58 | 465 | +6.4% |
| Alaska | $294 | $1,926 | 4 | 106 | +4.6% |
| Hawaii | $291 | $1,197 | 8 | 90 | +3.6% |
| Maryland | $288 | $1,082 | 113 | 1,198 | +2.7% |
| South Carolina | $288 | $1,142 | 97 | 1,142 | +2.5% |
| Nebraska | $285 | $1,200 | 55 | 245 | +1.5% |
| Colorado | $284 | $1,162 | 101 | 865 | +1.0% |
| Illinois | $282 | $1,507 | 179 | 1,443 | +0.5% |
| Michigan | $281 | $1,139 | 137 | 778 | +0.0% |
| Texas | $280 | $1,158 | 373 | 3,426 | -0.1% |
| Georgia | $277 | $1,249 | 189 | 2,238 | -1.3% |
| Massachusetts | $275 | $1,512 | 135 | 1,392 | -2.1% |
| Oregon | $274 | $1,380 | 65 | 430 | -2.2% |
| Arizona | $274 | $1,165 | 168 | 1,727 | -2.4% |
| Iowa | $273 | $1,662 | 61 | 479 | -2.8% |
| West Virginia | $271 | $1,053 | 30 | 315 | -3.5% |
| North Carolina | $268 | $1,150 | 165 | 1,778 | -4.6% |
| Wyoming | $267 | $1,032 | 10 | 198 | -5.0% |
| Rhode Island | $266 | $1,434 | 20 | 187 | -5.1% |
| Pennsylvania | $265 | $1,237 | 247 | 2,100 | -5.6% |
| Nevada | $264 | $1,001 | 38 | 444 | -5.9% |
| Kentucky | $263 | $1,205 | 77 | 756 | -6.4% |
| Puerto Rico | $261 | $505 | 8 | 36 | -7.0% |
| Utah | $260 | $936 | 64 | 479 | -7.4% |
| Ohio | $259 | $986 | 166 | 1,224 | -7.6% |
| Washington | $259 | $1,108 | 117 | 1,145 | -7.7% |
| Minnesota | $254 | $1,430 | 89 | 507 | -9.7% |
| Louisiana | $253 | $948 | 56 | 563 | -9.8% |
| Mississippi | $250 | $1,235 | 63 | 558 | -10.9% |
| Indiana | $249 | $1,429 | 100 | 886 | -11.1% |
| Kansas | $245 | $1,099 | 69 | 710 | -12.9% |
| Oklahoma | $243 | $1,068 | 50 | 513 | -13.3% |
| Missouri | $243 | $1,236 | 131 | 1,410 | -13.5% |
| Wisconsin | $242 | $2,233 | 105 | 949 | -13.8% |
| Idaho | $242 | $958 | 44 | 373 | -13.9% |
| Tennessee | $242 | $984 | 130 | 1,215 | -14.0% |
| New Mexico | $239 | $1,134 | 17 | 144 | -14.9% |
| Maine | $234 | $1,077 | 10 | 151 | -16.5% |
| New Hampshire | $234 | $1,551 | 28 | 256 | -16.5% |
| Alabama | $233 | $1,126 | 93 | 1,472 | -16.9% |
| Montana | $233 | $966 | 24 | 245 | -17.0% |
| Vermont | $226 | $636 | 10 | 101 | -19.4% |
| Arkansas | $224 | $880 | 53 | 681 | -20.2% |
| North Dakota | $213 | $855 | 18 | 281 | -24.2% |
| South Dakota | $208 | $630 | 25 | 239 | -26.0% |
⚠️ 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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