17313

Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks

Medicare pricing data for 3,118 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 trunk, arms, or legs, 1-5 tissue blocks (HCPCS code 17313) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $572.15, but hospitals typically charge $1,386 — a 2.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$114.43

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $572.15, your out-of-pocket cost would be approximately $114.43. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$572.15
Average Hospital Charge
$1,386
Markup Ratio
2.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,386.38
Medicare Allowed$572.15
Medicare Payment$449.91

Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $449.91 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$677$1,1674220+18.3%
Maryland$655$1,209403,065+14.5%
New York$647$1,67017212,493+13.1%
Connecticut$636$1,578261,892+11.2%
Alaska$636$1,774246+11.1%
California$623$1,38845522,649+8.9%
New Jersey$621$1,382735,738+8.5%
Hawaii$616$1,4109409+7.6%
Delaware$608$1,03710865+6.2%
Virginia$601$1,352635,158+5.1%
Colorado$600$1,490732,427+4.8%
Florida$591$1,25836528,307+3.2%
Wyoming$583$2,014656+1.9%
Nevada$578$1,171321,735+1.0%
Puerto Rico$575$645521+0.5%
Illinois$569$1,796934,983-0.5%
Oregon$569$1,663361,112-0.6%
Arizona$568$1,3391027,607-0.7%
Massachusetts$563$1,800755,980-1.5%
Washington$562$1,373682,824-1.8%
Rhode Island$559$1,81511959-2.3%
Georgia$559$1,463897,608-2.3%
Texas$552$1,32220011,363-3.5%
North Carolina$548$1,295876,208-4.2%
Michigan$547$1,288702,302-4.4%
Kentucky$547$1,201332,185-4.4%
New Hampshire$540$1,794161,011-5.7%
Minnesota$539$1,856601,618-5.7%
Indiana$537$1,369453,471-6.1%
Pennsylvania$532$1,1721206,568-7.0%
South Carolina$532$1,265353,944-7.1%
Ohio$530$1,282944,901-7.3%
Oklahoma$529$1,322241,453-7.6%
Louisiana$524$1,209291,352-8.5%
Tennessee$523$1,195684,806-8.6%
Mississippi$517$1,25414847-9.7%
Missouri$516$1,532683,028-9.9%
Iowa$513$1,83827666-10.4%
Kansas$513$1,320301,633-10.4%
Utah$510$1,173431,194-10.8%
Nebraska$509$1,60320535-11.0%
West Virginia$507$1,34911970-11.5%
Idaho$497$1,16823589-13.2%
Alabama$491$1,233454,663-14.1%
Maine$489$1,1938286-14.5%
Montana$489$1,14113443-14.6%
Arkansas$480$1,081352,588-16.1%
New Mexico$479$1,4948475-16.2%
Wisconsin$446$2,516531,529-22.0%
South Dakota$403$1,01616632-29.5%
North Dakota$360$7626160-37.0%
Vermont$344$556470-39.9%

⚠️ 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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