11402

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm

Medicare pricing data for 22,229 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, 1.1-2.0 cm (HCPCS code 11402) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $98.63, but hospitals typically charge $391.19 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$19.73

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $98.63, your out-of-pocket cost would be approximately $19.73. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$98.63
Average Hospital Charge
$391.19
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$391.19
Medicare Allowed$98.63
Medicare Payment$76.02

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $76.02 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$149$66960124+51.6%
Puerto Rico$120$1713067+21.4%
New York$115$4431,1335,035+16.6%
Hawaii$114$34371254+15.6%
California$111$4011,67911,090+12.8%
Nevada$111$3141431,096+12.7%
Connecticut$111$437246906+12.7%
New Jersey$111$4795323,277+12.5%
Maryland$108$4214542,434+9.9%
District of Columbia$106$40527220+7.8%
Massachusetts$106$5136112,687+7.0%
Virginia$104$3576193,016+5.3%
Rhode Island$103$41795323+4.8%
Wyoming$102$45540115+3.3%
Michigan$101$3347052,174+2.4%
Louisiana$100$3792861,015+1.5%
Colorado$99$3954121,575+0.4%
Illinois$99$4429244,812-0.1%
New Mexico$98$369113316-0.3%
Nebraska$97$394192650-1.7%
Pennsylvania$97$3491,0995,379-2.1%
Florida$96$3541,90214,478-2.3%
Texas$96$3861,4726,672-2.3%
Oklahoma$96$3232791,031-2.5%
Oregon$96$397258967-3.2%
Washington$95$3654371,555-3.2%
Tennessee$94$3275212,019-4.4%
Wisconsin$94$6575071,711-4.8%
Minnesota$94$4844621,627-4.9%
Kansas$93$4153251,144-5.2%
Ohio$93$3507432,935-5.4%
Mississippi$93$4342511,034-6.0%
Alabama$92$3263381,306-6.9%
New Hampshire$92$478148574-6.9%
North Carolina$91$3607964,466-7.3%
Montana$91$30092345-7.6%
Arizona$91$3754613,076-8.0%
Indiana$91$4465612,615-8.2%
Utah$90$291198580-8.3%
Arkansas$90$337218773-8.5%
South Carolina$90$3264172,297-9.1%
Maine$90$357110330-9.2%
Iowa$90$432293958-9.2%
South Dakota$89$280102317-9.7%
Delaware$89$39084422-10.0%
Vermont$88$26064160-10.7%
Georgia$88$3836044,136-11.2%
North Dakota$87$34975349-11.7%
Kentucky$87$3212871,233-12.1%
Missouri$86$3994621,704-12.5%
West Virginia$85$325138559-13.6%
Idaho$84$331134427-15.3%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber