Application of light with debridement to destroy precancer skin growth
Medicare pricing data for 3,284 providers across 49 states
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 with debridement to destroy precancer skin growth (HCPCS code 96574) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $275.79, but hospitals typically charge $544.34 — a 2.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $275.79, your out-of-pocket cost would be approximately $55.16. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.0x more than what Medicare allows for this procedure. Medicare actually pays $207.98 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $315 | $550 | 238 | 5,246 | +14.4% |
| California | $315 | $503 | 435 | 9,882 | +14.3% |
| New Jersey | $311 | $626 | 128 | 1,751 | +12.7% |
| Connecticut | $311 | $592 | 29 | 271 | +12.6% |
| Hawaii | $309 | $419 | 8 | 75 | +12.2% |
| District of Columbia | $305 | $501 | 6 | 39 | +10.6% |
| Massachusetts | $296 | $668 | 69 | 1,781 | +7.4% |
| Maryland | $294 | $432 | 51 | 1,036 | +6.8% |
| New Hampshire | $290 | $759 | 22 | 165 | +5.1% |
| Maine | $282 | $849 | 6 | 25 | +2.1% |
| Colorado | $282 | $558 | 55 | 908 | +2.1% |
| Virginia | $280 | $572 | 60 | 791 | +1.6% |
| Illinois | $279 | $635 | 103 | 913 | +1.3% |
| Washington | $279 | $532 | 57 | 1,071 | +1.2% |
| Pennsylvania | $273 | $566 | 103 | 1,534 | -0.9% |
| Minnesota | $271 | $577 | 29 | 416 | -1.8% |
| South Dakota | $271 | $285 | 2 | 13 | -1.9% |
| Delaware | $270 | $532 | 8 | 394 | -2.1% |
| Texas | $266 | $547 | 255 | 4,525 | -3.5% |
| Montana | $265 | $510 | 12 | 118 | -3.8% |
| Nevada | $264 | $578 | 36 | 700 | -4.3% |
| Florida | $264 | $541 | 460 | 8,774 | -4.4% |
| Michigan | $262 | $485 | 54 | 471 | -4.8% |
| Rhode Island | $261 | $860 | 11 | 80 | -5.2% |
| Arizona | $257 | $547 | 111 | 2,699 | -6.7% |
| Oregon | $257 | $692 | 68 | 1,677 | -6.7% |
| Wyoming | $256 | $621 | 19 | 975 | -7.3% |
| South Carolina | $255 | $391 | 20 | 1,049 | -7.4% |
| Wisconsin | $254 | $804 | 43 | 401 | -7.8% |
| Georgia | $254 | $647 | 71 | 1,872 | -7.9% |
| Nebraska | $251 | $580 | 17 | 159 | -8.9% |
| North Carolina | $249 | $559 | 59 | 854 | -9.5% |
| New Mexico | $249 | $627 | 8 | 86 | -9.8% |
| Ohio | $248 | $472 | 105 | 2,114 | -10.0% |
| North Dakota | $247 | $698 | 14 | 208 | -10.3% |
| Utah | $247 | $469 | 48 | 727 | -10.6% |
| Louisiana | $245 | $367 | 43 | 894 | -11.0% |
| Tennessee | $245 | $491 | 40 | 518 | -11.1% |
| Missouri | $243 | $478 | 46 | 662 | -12.0% |
| Kentucky | $236 | $355 | 47 | 904 | -14.6% |
| Oklahoma | $235 | $469 | 28 | 582 | -14.7% |
| Indiana | $235 | $607 | 58 | 811 | -14.9% |
| Mississippi | $234 | $737 | 20 | 248 | -15.0% |
| Idaho | $234 | $526 | 29 | 496 | -15.0% |
| Iowa | $232 | $655 | 31 | 345 | -15.9% |
| Alabama | $231 | $565 | 31 | 359 | -16.3% |
| Kansas | $225 | $712 | 10 | 207 | -18.5% |
| Arkansas | $222 | $413 | 47 | 757 | -19.5% |
| West Virginia | $219 | $578 | 19 | 201 | -20.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber