Removal of tissue from wound, 20.0 sq cm or less
Medicare pricing data for 25,170 providers across 52 states
Prices vary significantly by location — from $46 in Idaho to $102 in New York. Where you get this procedure matters more than almost any other factor. 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
Removal of tissue from wound, 20.0 sq cm or less (HCPCS code 97597) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $74.84, but hospitals typically charge $173.95 — 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 $74.84, your out-of-pocket cost would be approximately $14.97. 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 $57.56 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $102 | $186 | 1,789 | 51,383 | +36.4% |
| California | $89 | $174 | 1,925 | 63,016 | +19.2% |
| New Jersey | $86 | $195 | 1,016 | 26,047 | +15.6% |
| Maryland | $86 | $166 | 531 | 13,872 | +14.3% |
| Wyoming | $85 | $126 | 105 | 8,244 | +14.0% |
| Florida | $84 | $170 | 2,273 | 79,666 | +11.8% |
| Puerto Rico | $84 | $92 | 38 | 935 | +11.8% |
| Colorado | $81 | $189 | 375 | 5,626 | +8.7% |
| Hawaii | $80 | $187 | 96 | 1,379 | +7.5% |
| Texas | $77 | $179 | 1,577 | 44,215 | +2.4% |
| Illinois | $76 | $191 | 1,245 | 38,596 | +2.1% |
| Utah | $75 | $164 | 197 | 3,883 | +0.8% |
| Pennsylvania | $75 | $145 | 1,367 | 39,434 | +0.5% |
| Nevada | $74 | $206 | 188 | 3,652 | -0.5% |
| Arizona | $74 | $156 | 546 | 11,864 | -1.1% |
| Alaska | $73 | $285 | 66 | 612 | -2.4% |
| Oregon | $72 | $204 | 254 | 4,875 | -3.9% |
| Michigan | $71 | $153 | 839 | 15,621 | -5.2% |
| Washington | $70 | $177 | 446 | 8,013 | -5.9% |
| Virginia | $70 | $160 | 619 | 14,320 | -6.4% |
| Mississippi | $70 | $150 | 193 | 3,767 | -6.7% |
| New Mexico | $69 | $185 | 156 | 3,391 | -8.3% |
| Connecticut | $68 | $179 | 347 | 8,560 | -8.7% |
| West Virginia | $68 | $174 | 108 | 2,204 | -9.0% |
| Ohio | $68 | $148 | 952 | 16,871 | -9.2% |
| District of Columbia | $68 | $198 | 44 | 888 | -9.5% |
| Tennessee | $66 | $161 | 524 | 16,560 | -11.2% |
| Massachusetts | $66 | $191 | 594 | 15,835 | -12.0% |
| Georgia | $66 | $171 | 595 | 15,990 | -12.2% |
| Minnesota | $65 | $255 | 434 | 8,736 | -13.0% |
| Arkansas | $64 | $153 | 231 | 4,471 | -14.2% |
| Louisiana | $64 | $171 | 393 | 6,415 | -15.1% |
| Oklahoma | $62 | $146 | 276 | 13,637 | -17.5% |
| North Carolina | $62 | $195 | 743 | 16,084 | -17.7% |
| Indiana | $60 | $158 | 459 | 10,212 | -19.3% |
| Alabama | $58 | $136 | 278 | 8,416 | -21.8% |
| Wisconsin | $58 | $257 | 588 | 14,433 | -22.3% |
| Montana | $57 | $119 | 115 | 2,942 | -23.7% |
| Vermont | $57 | $120 | 55 | 729 | -23.8% |
| North Dakota | $57 | $188 | 89 | 1,684 | -24.1% |
| South Carolina | $56 | $150 | 359 | 8,755 | -25.7% |
| Delaware | $55 | $197 | 101 | 5,188 | -26.1% |
| Kentucky | $54 | $149 | 304 | 9,733 | -27.5% |
| Missouri | $54 | $158 | 447 | 12,921 | -27.8% |
| Maine | $54 | $176 | 114 | 1,487 | -27.9% |
| Nebraska | $53 | $167 | 186 | 4,192 | -28.8% |
| Rhode Island | $53 | $306 | 97 | 4,307 | -29.8% |
| Iowa | $50 | $160 | 287 | 10,898 | -33.6% |
| South Dakota | $48 | $162 | 78 | 2,506 | -35.8% |
| New Hampshire | $48 | $176 | 158 | 3,910 | -36.0% |
| Kansas | $46 | $165 | 224 | 6,614 | -38.0% |
| Idaho | $46 | $113 | 131 | 3,780 | -38.5% |
⚠️ 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