Treatment of inflammatory skin disease using laser, 250.0-500.0 sq cm
Medicare pricing data for 1,091 providers across 25 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, 250.0-500.0 sq cm (HCPCS code 96921) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $177.58, but hospitals typically charge $386.41 — a 2.2x 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 $177.58, your out-of-pocket cost would be approximately $35.52. 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 2.2x more than what Medicare allows for this procedure. Medicare actually pays $139.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $196 | $466 | 106 | 2,887 | +10.5% |
| California | $193 | $392 | 151 | 4,768 | +8.4% |
| New Jersey | $188 | $462 | 56 | 886 | +5.9% |
| Maryland | $185 | $305 | 23 | 1,208 | +4.4% |
| Virginia | $181 | $443 | 25 | 462 | +2.0% |
| Pennsylvania | $178 | $241 | 38 | 1,087 | -0.0% |
| Washington | $172 | $337 | 15 | 348 | -3.2% |
| Massachusetts | $170 | $551 | 43 | 465 | -4.3% |
| Minnesota | $169 | $452 | 34 | 1,104 | -4.8% |
| Wisconsin | $169 | $477 | 13 | 320 | -4.9% |
| Michigan | $167 | $326 | 26 | 422 | -6.1% |
| Texas | $167 | $356 | 60 | 1,089 | -6.1% |
| Illinois | $166 | $430 | 51 | 648 | -6.3% |
| Florida | $165 | $314 | 125 | 2,216 | -7.2% |
| Oregon | $165 | $397 | 14 | 43 | -7.3% |
| North Dakota | $163 | $473 | 8 | 331 | -8.5% |
| Arizona | $163 | $362 | 27 | 459 | -8.5% |
| Georgia | $162 | $450 | 34 | 330 | -8.6% |
| New Hampshire | $162 | $619 | 18 | 82 | -9.0% |
| Indiana | $158 | $549 | 13 | 221 | -10.9% |
| Ohio | $157 | $288 | 17 | 127 | -11.5% |
| North Carolina | $156 | $340 | 26 | 259 | -11.9% |
| Tennessee | $150 | $303 | 50 | 645 | -15.5% |
| South Carolina | $148 | $331 | 9 | 168 | -16.7% |
| Mississippi | $145 | $212 | 9 | 145 | -18.3% |
⚠️ 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