Treatment of inflammatory skin disease using laser, more than 500.0 sq cm
Medicare pricing data for 619 providers across 17 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, more than 500.0 sq cm (HCPCS code 96922) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $247.79, but hospitals typically charge $564.58 — 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 $247.79, your out-of-pocket cost would be approximately $49.56. 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 $195.48 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $267 | $720 | 68 | 2,727 | +7.6% |
| California | $265 | $563 | 114 | 3,997 | +7.1% |
| Maryland | $252 | $391 | 12 | 376 | +1.6% |
| New Jersey | $251 | $527 | 38 | 956 | +1.4% |
| Pennsylvania | $240 | $306 | 15 | 101 | -3.3% |
| Minnesota | $234 | $545 | 13 | 180 | -5.7% |
| Massachusetts | $233 | $900 | 18 | 201 | -6.0% |
| Texas | $232 | $510 | 38 | 457 | -6.5% |
| Virginia | $229 | $488 | 15 | 229 | -7.6% |
| Illinois | $226 | $598 | 22 | 195 | -9.0% |
| Florida | $224 | $458 | 80 | 2,567 | -9.8% |
| Washington | $223 | $447 | 5 | 69 | -9.9% |
| Georgia | $223 | $550 | 20 | 284 | -10.1% |
| Arizona | $221 | $495 | 12 | 141 | -10.7% |
| Michigan | $221 | $473 | 15 | 88 | -10.8% |
| Ohio | $214 | $446 | 13 | 101 | -13.6% |
| Tennessee | $202 | $408 | 34 | 97 | -18.4% |
⚠️ 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