96567

Application of light to destroy precancer skin growth

Medicare pricing data for 4,078 providers across 50 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

Application of light to destroy precancer skin growth (HCPCS code 96567) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $135.20, but hospitals typically charge $330.37 — a 2.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$27.04

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $135.20, your out-of-pocket cost would be approximately $27.04. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$135.20
Average Hospital Charge
$330.37
Markup Ratio
2.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$330.37
Medicare Allowed$135.20
Medicare Payment$97.47

Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $97.47 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$161$3594204,148+19.3%
New Jersey$158$30189583+16.5%
Hawaii$157$254722+15.9%
Connecticut$151$34533277+12.0%
New York$151$4651401,035+12.0%
Alaska$150$55111105+11.1%
Massachusetts$150$4471262,016+11.0%
District of Columbia$148$2518110+9.8%
Maryland$144$353621,126+6.5%
Colorado$142$3441271,467+4.9%
New Hampshire$140$42732244+3.9%
Delaware$140$19712373+3.8%
Minnesota$140$451113640+3.6%
Washington$139$3171231,536+3.1%
South Dakota$139$1801273+2.5%
Pennsylvania$138$24096657+1.9%
Wyoming$137$279578+1.6%
Texas$137$3202522,336+1.5%
Virginia$137$2801473,179+1.2%
Montana$136$27314279+0.9%
North Dakota$136$410668+0.4%
Oregon$136$35885944+0.3%
Rhode Island$135$47415164+0.2%
Nevada$133$30028655-1.3%
Illinois$131$4371201,150-3.0%
Wisconsin$131$67865379-3.0%
Arizona$131$3091222,506-3.0%
Florida$129$2944594,429-4.4%
Georgia$129$3221392,115-4.5%
Utah$129$26941476-4.7%
Michigan$128$31293659-5.4%
North Carolina$127$2831762,608-6.1%
Missouri$126$290841,009-6.5%
Ohio$125$32194751-7.2%
South Carolina$125$55959887-7.6%
Louisiana$125$24844634-7.7%
Nebraska$123$3941442-8.9%
Kentucky$121$25252300-10.4%
Kansas$121$32453318-10.4%
Maine$121$39218101-10.7%
Alabama$120$34984850-11.0%
Idaho$119$22136233-11.7%
Indiana$119$294103970-12.3%
Tennessee$117$2421211,758-13.4%
Arkansas$116$24328404-13.9%
New Mexico$115$28715205-14.9%
Iowa$115$45320117-15.2%
Mississippi$113$26541403-16.1%
West Virginia$112$26522125-16.8%
Oklahoma$112$26211132-17.1%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber