Extensive or complicated repair of surface wound reopening
Medicare pricing data for 8,468 providers across 51 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
Extensive or complicated repair of surface wound reopening (HCPCS code 13160) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $687.81, but hospitals typically charge $2,673 — a 3.9x 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 $687.81, your out-of-pocket cost would be approximately $137.56. 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 3.9x more than what Medicare allows for this procedure. Medicare actually pays $547.35 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $865 | $5,250 | 27 | 41 | +25.8% |
| Maryland | $792 | $2,496 | 154 | 406 | +15.1% |
| New Jersey | $760 | $3,789 | 241 | 500 | +10.5% |
| Wyoming | $754 | $3,353 | 18 | 48 | +9.7% |
| District of Columbia | $747 | $2,169 | 50 | 344 | +8.5% |
| New York | $745 | $5,089 | 292 | 501 | +8.3% |
| Connecticut | $743 | $2,676 | 72 | 117 | +8.1% |
| California | $740 | $2,805 | 786 | 1,558 | +7.6% |
| New Hampshire | $738 | $3,241 | 59 | 88 | +7.2% |
| West Virginia | $736 | $2,023 | 33 | 72 | +7.1% |
| Massachusetts | $731 | $2,954 | 196 | 350 | +6.3% |
| Hawaii | $728 | $2,023 | 18 | 24 | +5.8% |
| Rhode Island | $716 | $2,598 | 10 | 15 | +4.1% |
| Virginia | $714 | $4,160 | 237 | 541 | +3.8% |
| Illinois | $713 | $2,657 | 255 | 434 | +3.7% |
| Delaware | $700 | $2,584 | 38 | 61 | +1.8% |
| Michigan | $699 | $2,115 | 281 | 480 | +1.6% |
| Washington | $690 | $2,215 | 159 | 251 | +0.3% |
| Florida | $689 | $2,895 | 623 | 1,208 | +0.1% |
| Montana | $688 | $2,140 | 42 | 64 | -0.0% |
| Arizona | $683 | $2,532 | 223 | 398 | -0.7% |
| Colorado | $682 | $2,493 | 187 | 285 | -0.8% |
| Maine | $681 | $2,087 | 17 | 23 | -1.0% |
| South Dakota | $680 | $2,013 | 49 | 126 | -1.1% |
| Ohio | $678 | $2,259 | 380 | 687 | -1.4% |
| Louisiana | $678 | $2,101 | 121 | 217 | -1.5% |
| Pennsylvania | $676 | $2,145 | 444 | 766 | -1.7% |
| Minnesota | $674 | $3,418 | 196 | 372 | -1.9% |
| New Mexico | $673 | $2,232 | 62 | 170 | -2.1% |
| Georgia | $673 | $2,530 | 210 | 415 | -2.2% |
| North Dakota | $664 | $2,743 | 34 | 50 | -3.5% |
| Texas | $659 | $2,525 | 670 | 1,416 | -4.2% |
| Indiana | $657 | $2,287 | 207 | 384 | -4.5% |
| Oklahoma | $656 | $1,918 | 148 | 280 | -4.6% |
| North Carolina | $650 | $2,138 | 266 | 493 | -5.5% |
| Idaho | $648 | $2,142 | 55 | 97 | -5.9% |
| Kentucky | $647 | $2,017 | 129 | 200 | -6.0% |
| Oregon | $646 | $2,567 | 86 | 162 | -6.1% |
| Nebraska | $644 | $2,325 | 62 | 87 | -6.4% |
| Utah | $640 | $2,311 | 80 | 144 | -6.9% |
| Missouri | $636 | $2,312 | 174 | 278 | -7.5% |
| Wisconsin | $633 | $3,475 | 180 | 298 | -7.9% |
| South Carolina | $630 | $2,070 | 130 | 237 | -8.3% |
| Kansas | $629 | $2,128 | 99 | 238 | -8.6% |
| Tennessee | $628 | $2,195 | 194 | 333 | -8.8% |
| Iowa | $621 | $2,745 | 73 | 118 | -9.7% |
| Mississippi | $619 | $2,836 | 62 | 120 | -9.9% |
| Alabama | $615 | $2,273 | 102 | 187 | -10.5% |
| Nevada | $615 | $2,254 | 74 | 179 | -10.6% |
| Vermont | $596 | $3,550 | 12 | 16 | -13.4% |
| Arkansas | $586 | $1,865 | 64 | 128 | -14.8% |
⚠️ 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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