17312

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

Medicare pricing data for 3,297 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $229 in North Dakota to $481 in District of Columbia. Where you get this procedure matters more than almost any other factor. 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, each additional stage, 1-5 tissue blocks (HCPCS code 17312) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $400.97, but hospitals typically charge $896.30 — a 2.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$80.19

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $400.97, your out-of-pocket cost would be approximately $80.19. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$400.97
Average Hospital Charge
$896.30
Markup Ratio
2.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$896.30
Medicare Allowed$400.97
Medicare Payment$319.98

Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $319.98 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$481$7654514+19.9%
New York$456$1,07317124,600+13.8%
New Jersey$454$8877714,213+13.2%
California$449$91350564,571+12.0%
Maryland$446$783427,143+11.3%
Connecticut$444$1,098304,520+10.7%
Hawaii$438$8949825+9.2%
Alaska$434$1,1973339+8.3%
Colorado$420$935819,077+4.8%
Delaware$419$654101,494+4.4%
Wyoming$413$1,1756510+3.0%
Puerto Rico$412$4185115+2.6%
Virginia$409$8536013,979+1.9%
Illinois$408$1,1269914,701+1.8%
Florida$407$79237862,961+1.6%
Nevada$405$785385,245+0.9%
Massachusetts$403$1,2137214,137+0.4%
Washington$400$864709,335-0.2%
Rhode Island$398$1,175111,669-0.7%
Arizona$397$87910517,652-0.9%
Georgia$393$9228916,551-2.1%
Oregon$392$1,103374,139-2.3%
Texas$390$86221630,534-2.6%
North Carolina$385$8178820,357-4.0%
Pennsylvania$382$73612319,731-4.8%
Michigan$381$860748,323-5.0%
South Carolina$379$901389,062-5.5%
Minnesota$374$1,216696,318-6.8%
Montana$372$759132,138-7.3%
Missouri$372$860728,585-7.3%
Kentucky$371$794346,522-7.4%
Ohio$369$8049815,252-7.9%
Indiana$369$862448,209-8.1%
Mississippi$368$775162,744-8.3%
Tennessee$366$7797111,863-8.7%
Kansas$366$852286,042-8.8%
Nebraska$362$952212,356-9.7%
Oklahoma$361$863285,182-9.9%
Alabama$361$839476,308-10.0%
West Virginia$360$835122,347-10.2%
Louisiana$360$763323,762-10.3%
Arkansas$359$724387,631-10.5%
New Mexico$358$943102,395-10.6%
Utah$357$749504,445-11.0%
Iowa$350$1,144303,339-12.7%
Idaho$349$717272,270-13.0%
New Hampshire$343$1,209172,997-14.4%
Maine$338$7729791-15.6%
South Dakota$333$690162,294-16.9%
Wisconsin$305$1,731576,043-24.0%
Vermont$253$4225493-37.0%
North Dakota$229$4327938-42.9%

⚠️ 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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