11106

Incision biopsy, first skin growth

Medicare pricing data for 7,190 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $50 in West Virginia to $159 in Alaska. 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

Incision biopsy, first skin growth (HCPCS code 11106) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $131.89, but hospitals typically charge $320.93 — a 2.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.38

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $131.89, your out-of-pocket cost would be approximately $26.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$131.89
Average Hospital Charge
$320.93
Markup Ratio
2.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$320.93
Medicare Allowed$131.89
Medicare Payment$98.90

Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $98.90 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$159$6392946+20.7%
Puerto Rico$155$1611115+17.6%
New York$154$3524011,881+16.5%
New Jersey$152$5091991,252+14.9%
Wyoming$150$3932640+13.9%
Washington$147$402160416+11.2%
Maryland$146$272129764+10.7%
Massachusetts$144$3902131,174+8.9%
Virginia$143$2492201,046+8.4%
California$142$3166204,334+7.9%
Delaware$141$2553290+6.9%
Florida$140$2705875,895+6.2%
Colorado$139$324136211+5.7%
District of Columbia$139$41921128+5.3%
Connecticut$139$35284247+5.3%
New Hampshire$135$37942125+2.3%
Illinois$130$339262890-1.6%
Nevada$129$42556146-2.4%
South Carolina$128$244126641-2.7%
Oregon$128$436117261-2.8%
Indiana$128$266167727-2.9%
Tennessee$128$2511791,103-3.1%
North Carolina$123$343223498-6.5%
Louisiana$121$320101297-8.2%
Ohio$120$287240547-8.9%
Kansas$118$29592126-10.5%
Kentucky$118$2691031,018-10.7%
Arizona$117$350152303-10.9%
Nebraska$117$35084124-11.5%
Pennsylvania$115$3893311,252-13.0%
Arkansas$115$22385223-13.1%
Oklahoma$113$304101364-14.2%
Hawaii$112$33616208-14.9%
Michigan$112$252210455-14.9%
Utah$112$29462106-15.3%
Vermont$111$219616-15.6%
Texas$111$3424201,550-15.7%
Mississippi$110$28069148-16.8%
North Dakota$109$3341019-17.6%
Georgia$107$437152483-18.5%
Minnesota$107$471102150-18.8%
Iowa$105$39582125-20.2%
Montana$100$2183552-24.1%
Alabama$99$25083132-25.2%
Wisconsin$94$514152245-28.6%
New Mexico$92$31261112-30.4%
Missouri$83$282149286-37.1%
Idaho$83$2306084-37.2%
Rhode Island$82$3172138-37.6%
South Dakota$79$3394552-39.9%
Maine$65$2043853-50.6%
West Virginia$50$2004290-62.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber