17270

Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less

Medicare pricing data for 3,347 providers across 49 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 scalp, neck, hands, feet, or genitals, 0.5 cm or less (HCPCS code 17270) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $124.94, but hospitals typically charge $305.64 — a 2.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.99

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $124.94, your out-of-pocket cost would be approximately $24.99. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$124.94
Average Hospital Charge
$305.64
Markup Ratio
2.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$305.64
Medicare Allowed$124.94
Medicare Payment$94.01

Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $94.01 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$138$322107317+10.7%
Maryland$136$29972226+9.2%
Washington$135$2995585+8.4%
California$135$257277798+8.0%
Connecticut$134$3202231+7.3%
Hawaii$133$2761643+6.3%
Delaware$133$3101123+6.1%
Virginia$132$25371171+5.9%
Massachusetts$131$44997246+4.8%
Illinois$131$319107304+4.7%
Rhode Island$130$3551840+4.0%
Colorado$130$30679151+3.9%
Louisiana$128$2614079+2.8%
New York$128$435179465+2.4%
District of Columbia$128$439314+2.3%
Florida$128$2774191,032+2.1%
Michigan$128$28167120+2.1%
Nevada$128$2733187+2.1%
Pennsylvania$126$292143328+0.7%
Arizona$125$311134317+0.3%
Maine$123$3361427-1.3%
Texas$123$309205461-1.6%
Kentucky$123$27053130-1.6%
Montana$123$3591114-1.7%
Ohio$122$27883206-2.0%
West Virginia$122$3232885-2.3%
New Mexico$122$3162372-2.3%
Missouri$121$34853102-2.9%
Georgia$121$31495229-3.4%
New Hampshire$120$4762957-4.2%
Kansas$120$33640100-4.2%
Oregon$119$37348149-4.4%
South Carolina$119$29356197-4.6%
Iowa$119$4582742-5.1%
North Carolina$118$315141364-5.4%
Wyoming$118$309719-5.8%
Minnesota$117$4102341-6.0%
Wisconsin$116$5693862-7.0%
Tennessee$116$25180292-7.5%
Mississippi$115$25232116-7.6%
Utah$115$25434113-8.1%
Alabama$114$23251111-8.9%
Nebraska$113$3333282-9.9%
Indiana$112$32074185-10.1%
Idaho$109$2881517-13.1%
Oklahoma$107$22739202-14.6%
Arkansas$107$17839173-14.6%
North Dakota$106$293717-15.2%
South Dakota$97$3731117-22.4%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber