11401

Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm

Medicare pricing data for 15,696 providers across 52 states

🤖AI Overview

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 noncancer skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS code 11401) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $105.75, but hospitals typically charge $338.83 — a 3.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$21.15

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $105.75, your out-of-pocket cost would be approximately $21.15. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$105.75
Average Hospital Charge
$338.83
Markup Ratio
3.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$338.83
Medicare Allowed$105.75
Medicare Payment$79.75

Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $79.75 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$153$55737102+44.5%
Hawaii$136$28044197+28.8%
Maryland$127$3543161,800+19.8%
New York$121$3737442,756+14.2%
Wyoming$121$3392979+14.2%
District of Columbia$120$3522591+13.5%
Connecticut$118$381145334+12.0%
Rhode Island$118$34749127+11.5%
Virginia$117$3394331,455+10.3%
Puerto Rico$116$1571737+9.9%
New Jersey$115$4003801,404+9.0%
Michigan$113$2845621,265+7.0%
California$111$3041,0905,767+4.8%
Massachusetts$109$4514321,298+3.0%
Oregon$109$361164501+2.8%
Colorado$107$372290584+1.2%
Pennsylvania$106$2998032,299+0.3%
New Mexico$106$31880189-0.0%
Delaware$106$29267228-0.0%
Illinois$105$3777412,627-0.4%
North Carolina$105$3215271,445-1.1%
Oklahoma$104$300212546-1.2%
Kansas$104$352241710-1.2%
Florida$104$3211,3024,775-1.6%
Nebraska$104$355169483-1.7%
Washington$104$339302660-1.9%
Louisiana$103$297206652-2.6%
Montana$103$29165145-2.9%
Vermont$102$26247102-3.3%
Nevada$102$30086480-3.8%
Alabama$101$242229720-4.1%
Iowa$101$398197469-4.7%
Ohio$100$2985831,506-5.2%
Texas$100$3601,0002,833-5.2%
Tennessee$100$300390983-5.6%
South Carolina$99$330302783-6.4%
Wisconsin$98$604374792-7.3%
Arkansas$98$280157357-7.6%
Minnesota$97$456321629-7.9%
Indiana$97$3564421,413-8.5%
Utah$97$263128235-8.5%
Idaho$96$30492260-9.0%
Missouri$96$317296747-9.1%
North Dakota$96$31071159-9.2%
Mississippi$95$347183560-10.3%
Maine$94$33776116-11.0%
Georgia$93$3043941,514-11.6%
New Hampshire$92$414102221-13.0%
Kentucky$91$295188552-14.3%
Arizona$89$3243181,140-16.2%
West Virginia$85$299107410-19.8%
South Dakota$81$26874197-23.2%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber