17003

Destruction of precancer skin growth, 2-14 growths

Medicare pricing data for 39,559 providers across 52 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 19.4 million services annually. Even small pricing inefficiencies here affect millions of patients. 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

Destruction of precancer skin growth, 2-14 growths (HCPCS code 17003) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.26, but hospitals typically charge $21.98 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.25

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.26, your out-of-pocket cost would be approximately $1.25. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$6.26
Average Hospital Charge
$21.98
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$21.98
Medicare Allowed$6.26
Medicare Payment$4.67

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $4.67 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$7$259115,980+18.7%
California$7$204,2672,444,661+17.3%
District of Columbia$7$187232,598+15.2%
New Jersey$7$25696429,596+13.3%
New York$7$361,820796,442+11.2%
Maryland$7$23541401,746+10.9%
Hawaii$7$2413558,012+10.4%
Connecticut$7$25348151,753+9.6%
Massachusetts$7$31904490,404+8.0%
Colorado$7$181,098363,150+5.8%
Puerto Rico$7$10594,314+5.0%
Virginia$6$22937587,430+3.2%
Rhode Island$6$2012367,235+2.7%
Delaware$6$1910480,159+1.9%
Washington$6$161,232388,134-0.3%
Wyoming$6$2911738,911-0.5%
Nevada$6$18249189,904-1.0%
Florida$6$172,9662,543,524-1.4%
Pennsylvania$6$261,373563,474-1.4%
Texas$6$192,3341,299,168-1.4%
Illinois$6$301,107551,213-2.4%
Oregon$6$19750235,962-2.7%
Arizona$6$18999672,972-2.7%
Michigan$6$201,197367,065-4.2%
Georgia$6$22832589,120-5.3%
North Carolina$6$221,291690,881-5.6%
Utah$6$15668202,019-5.8%
Louisiana$6$20465249,668-6.4%
South Carolina$6$23549454,945-6.4%
Maine$6$2622850,874-6.7%
Montana$6$2025699,453-6.9%
New Hampshire$6$33222110,038-7.3%
Missouri$6$25828349,516-7.5%
New Mexico$6$16238116,797-8.5%
Ohio$6$171,176501,484-8.5%
Minnesota$6$241,120181,963-9.1%
Indiana$6$30926337,692-9.3%
Tennessee$6$16917436,820-9.3%
Kansas$6$25630215,140-9.4%
Nebraska$6$19484143,552-9.9%
Alabama$6$30569292,710-10.2%
Kentucky$6$24469235,479-10.7%
Oklahoma$6$19598232,816-10.7%
Mississippi$6$29282172,242-11.0%
Idaho$5$15458131,581-12.5%
Iowa$5$34712206,412-12.9%
Arkansas$5$15449234,321-13.4%
Wisconsin$5$50941201,545-15.7%
West Virginia$5$1817377,945-16.5%
Vermont$5$1310418,846-21.1%
South Dakota$4$2024081,649-29.2%
North Dakota$4$1820542,686-30.4%

⚠️ 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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