17108

Destruction of birthmark, more than 50.0 sq cm

Medicare pricing data for 175 providers across 15 states

🤖AI Overview

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

Destruction of birthmark, more than 50.0 sq cm (HCPCS code 17108) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $628.93, but hospitals typically charge $1,153 — a 1.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$125.79

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $628.93, your out-of-pocket cost would be approximately $125.79. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$628.93
Average Hospital Charge
$1,153
Markup Ratio
1.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,152.66
Medicare Allowed$628.93
Medicare Payment$491.04

Hospitals charge 1.8x more than what Medicare allows for this procedure. Medicare actually pays $491.04 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$761$1,25312525+21.0%
Illinois$675$1,2565188+7.4%
Massachusetts$671$2,6551020+6.8%
Nevada$634$1,2001114+0.8%
California$624$1,070372,242-0.8%
Arizona$618$7633774-1.7%
Texas$616$1,923731-2.1%
Florida$615$1,667770-2.2%
Puerto Rico$612$8346255-2.7%
Pennsylvania$603$1,41120808-4.2%
Louisiana$592$1,1417450-5.8%
Indiana$577$1,510332-8.2%
Mississippi$573$1,637493-9.0%
Maryland$562$2,498418-10.6%
Georgia$497$4,322843-20.9%

⚠️ 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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