Treatment of inflammatory skin disease using laser, less than 250.0 sq cm
Medicare pricing data for 1,927 providers across 38 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
Treatment of inflammatory skin disease using laser, less than 250.0 sq cm (HCPCS code 96920) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $156.07, but hospitals typically charge $356.70 — a 2.3x 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 $156.07, your out-of-pocket cost would be approximately $31.21. 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 2.3x more than what Medicare allows for this procedure. Medicare actually pays $122.04 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $173 | $405 | 180 | 6,763 | +11.1% |
| California | $172 | $351 | 224 | 10,930 | +10.1% |
| District of Columbia | $170 | $259 | 5 | 173 | +8.7% |
| New Jersey | $169 | $451 | 100 | 3,077 | +8.5% |
| Massachusetts | $169 | $503 | 79 | 2,385 | +8.1% |
| Washington | $165 | $316 | 40 | 912 | +5.4% |
| Colorado | $163 | $289 | 14 | 191 | +4.3% |
| Maryland | $160 | $389 | 58 | 1,914 | +2.8% |
| Delaware | $158 | $233 | 8 | 478 | +1.2% |
| Nevada | $158 | $342 | 11 | 362 | +1.1% |
| Virginia | $155 | $318 | 46 | 1,775 | -0.5% |
| Minnesota | $154 | $418 | 55 | 1,620 | -1.2% |
| Pennsylvania | $154 | $277 | 83 | 2,763 | -1.3% |
| New Hampshire | $151 | $562 | 23 | 319 | -3.0% |
| Illinois | $151 | $345 | 108 | 2,895 | -3.2% |
| Texas | $151 | $348 | 99 | 2,981 | -3.3% |
| Florida | $150 | $283 | 201 | 7,359 | -4.1% |
| Michigan | $149 | $297 | 46 | 1,399 | -4.6% |
| Connecticut | $149 | $406 | 13 | 461 | -4.7% |
| Georgia | $148 | $393 | 51 | 1,562 | -5.4% |
| Maine | $146 | $437 | 6 | 81 | -6.2% |
| Nebraska | $145 | $330 | 6 | 215 | -6.8% |
| Arizona | $143 | $320 | 43 | 1,733 | -8.1% |
| Alabama | $142 | $535 | 22 | 480 | -9.0% |
| Kentucky | $142 | $311 | 15 | 389 | -9.3% |
| North Carolina | $141 | $299 | 43 | 892 | -9.6% |
| South Carolina | $138 | $422 | 19 | 748 | -11.3% |
| Indiana | $138 | $498 | 46 | 1,163 | -11.6% |
| Wisconsin | $137 | $507 | 21 | 618 | -12.2% |
| Oregon | $137 | $409 | 40 | 714 | -12.4% |
| Tennessee | $135 | $277 | 70 | 1,743 | -13.2% |
| Iowa | $134 | $386 | 16 | 380 | -14.4% |
| Ohio | $133 | $259 | 30 | 484 | -14.7% |
| Mississippi | $130 | $231 | 19 | 1,343 | -16.9% |
| Missouri | $129 | $431 | 13 | 347 | -17.4% |
| New Mexico | $123 | $195 | 3 | 102 | -20.9% |
| Louisiana | $122 | $300 | 9 | 777 | -21.9% |
| North Dakota | $115 | $383 | 10 | 331 | -26.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber