17311

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks

Medicare pricing data for 3,465 providers across 52 states

🤖AI Overview

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

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS code 17311) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $568.75, but hospitals typically charge $1,495 — a 2.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$113.75

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $568.75, your out-of-pocket cost would be approximately $113.75. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$568.75
Average Hospital Charge
$1,495
Markup Ratio
2.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,495.04
Medicare Allowed$568.75
Medicare Payment$446.66

Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $446.66 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$726$1,2594766+27.7%
Alaska$697$2,09031,106+22.5%
Maryland$667$1,2874515,045+17.2%
New York$652$1,77917939,221+14.7%
Hawaii$629$1,52691,433+10.5%
California$628$1,52453290,048+10.4%
Connecticut$627$1,814328,477+10.2%
Colorado$610$1,5348316,954+7.2%
New Jersey$605$1,6207920,373+6.4%
Wyoming$605$2,03361,015+6.4%
Florida$598$1,330390113,685+5.1%
Virginia$598$1,4196327,498+5.1%
Delaware$592$1,119103,159+4.2%
Arizona$578$1,48911332,693+1.6%
Puerto Rico$577$6896307+1.4%
Oregon$577$1,899387,972+1.4%
Nevada$576$1,238388,218+1.3%
Illinois$572$1,80410726,637+0.6%
Massachusetts$569$2,0197824,356+0.1%
Washington$565$1,4307719,314-0.7%
Georgia$562$1,5319130,509-1.2%
Texas$561$1,45622358,585-1.4%
Michigan$560$1,4328315,322-1.5%
Rhode Island$554$1,770123,157-2.6%
North Carolina$550$1,3999335,170-3.4%
South Carolina$549$1,4174417,641-3.4%
Ohio$543$1,34310226,516-4.6%
Minnesota$533$2,0137012,421-6.2%
Indiana$531$1,4554716,273-6.7%
Mississippi$529$1,285176,014-7.1%
Iowa$528$1,984317,209-7.1%
Louisiana$528$1,258327,793-7.2%
Tennessee$527$1,2857323,716-7.4%
Pennsylvania$526$1,31413035,517-7.5%
Utah$525$1,248529,027-7.6%
Kentucky$524$1,3603712,121-7.9%
Nebraska$524$1,668224,224-7.9%
Kansas$519$1,4353011,894-8.7%
Alabama$512$1,3394916,326-9.9%
Arkansas$512$1,1794014,039-10.0%
Missouri$511$1,4917519,271-10.1%
West Virginia$511$1,400154,366-10.2%
Oklahoma$507$1,401299,022-10.9%
Idaho$503$1,179284,877-11.6%
Maine$502$1,322101,981-11.7%
New Mexico$499$1,574103,770-12.2%
Montana$493$1,233144,484-13.3%
New Hampshire$482$2,030175,382-15.3%
Wisconsin$448$2,7845812,960-21.2%
South Dakota$405$1,035165,350-28.8%
Vermont$403$78871,488-29.2%
North Dakota$370$80772,402-35.0%

⚠️ 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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