17264

Destruction of cancer skin growth of trunk, arms, or legs, 3.1-4.0 cm

Medicare pricing data for 3,068 providers across 46 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 cancer skin growth of trunk, arms, or legs, 3.1-4.0 cm (HCPCS code 17264) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $183.78, but hospitals typically charge $418.59 — a 2.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$36.76

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $183.78, your out-of-pocket cost would be approximately $36.76. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$183.78
Average Hospital Charge
$418.59
Markup Ratio
2.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$418.59
Medicare Allowed$183.78
Medicare Payment$140.00

Hospitals charge 2.3x more than what Medicare allows for this procedure. Medicare actually pays $140.00 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$218$38193204+18.9%
New York$216$468174505+17.3%
Massachusetts$208$61087174+13.3%
Connecticut$203$5083983+10.7%
Washington$198$43663106+7.9%
Maryland$198$46472195+7.7%
Rhode Island$196$4661332+6.6%
Virginia$196$44269144+6.6%
Delaware$196$354817+6.5%
Illinois$196$48885177+6.4%
Louisiana$190$3722137+3.2%
New Hampshire$189$5102244+3.0%
Florida$187$3793991,179+1.8%
Colorado$186$4486596+1.4%
Oregon$186$5203348+0.9%
Hawaii$185$379917+0.7%
Texas$185$436155321+0.7%
Missouri$185$3725186+0.4%
Michigan$185$4316594+0.4%
Arizona$181$41288218-1.3%
Pennsylvania$180$409134271-2.0%
Wisconsin$178$8343449-3.1%
Ohio$177$46085160-3.6%
Nevada$177$4131972-3.7%
Montana$176$3831331-4.1%
California$176$3893001,170-4.2%
South Carolina$175$41271178-4.6%
North Carolina$175$403139240-5.0%
Utah$174$3672842-5.3%
Georgia$174$445107249-5.5%
Nebraska$173$4352969-6.1%
Maine$172$3791422-6.2%
Oklahoma$171$3823768-6.8%
Arkansas$170$3443292-7.7%
Kansas$168$3773058-8.7%
Kentucky$168$32545118-8.8%
Iowa$168$5702249-8.8%
Tennessee$166$39362123-9.4%
South Dakota$165$4861111-10.4%
Indiana$164$38273214-10.6%
Minnesota$162$5553142-12.0%
Alabama$162$34536127-12.1%
New Mexico$155$4301424-15.4%
West Virginia$151$3971827-17.9%
Idaho$143$3581828-22.0%
Mississippi$131$3502686-28.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

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