17315

Removal and microscopic exam of growth, each additional block after 5 tissue blocks

Medicare pricing data for 1,045 providers across 43 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, each additional block after 5 tissue blocks (HCPCS code 17315) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $72.96, but hospitals typically charge $203.08 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$14.59

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $72.96, your out-of-pocket cost would be approximately $14.59. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$72.96
Average Hospital Charge
$203.08
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$203.08
Medicare Allowed$72.96
Medicare Payment$58.22

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $58.22 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$89$16114201+21.6%
New Jersey$83$16728420+14.4%
New York$83$34268877+14.2%
California$82$2111211,786+12.1%
Delaware$80$1638825+9.2%
Connecticut$79$2231026+8.6%
Florida$77$167804,858+5.9%
Massachusetts$77$22723277+5.7%
Colorado$77$19817185+5.6%
Illinois$76$24624111+4.5%
New Mexico$76$150327+4.3%
Georgia$76$20635772+3.9%
Washington$76$20423156+3.6%
Texas$75$20371988+3.2%
Arizona$75$22625233+3.2%
Louisiana$74$1341047+1.8%
Oklahoma$74$1731074+1.4%
Alabama$74$1771123+1.3%
New Hampshire$74$244550+0.9%
South Carolina$73$15314216+0.5%
Idaho$73$166742-0.3%
Kentucky$73$17712124-0.5%
Tennessee$72$13324630-1.0%
North Carolina$71$22837584-2.2%
Ohio$71$21333285-3.2%
Mississippi$70$166772-3.7%
Indiana$70$1831465-3.8%
Arkansas$70$1299216-4.0%
Maine$68$174839-7.0%
Nebraska$68$205738-7.4%
Virginia$66$122211,012-10.1%
Michigan$63$16623298-13.4%
Missouri$63$14121147-14.0%
Rhode Island$62$1955127-14.5%
Pennsylvania$62$231692,084-15.3%
Minnesota$61$30928467-16.6%
Oregon$60$21415228-17.3%
Wisconsin$59$63526215-19.3%
Nevada$58$243867-20.1%
Kansas$56$248998-23.0%
South Dakota$52$131638-29.4%
Iowa$51$34210214-30.0%
Utah$49$195215-32.3%

⚠️ 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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