11422

Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm

Medicare pricing data for 14,285 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 scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS code 11422) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $117.17, but hospitals typically charge $461.53 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$23.43

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $117.17, your out-of-pocket cost would be approximately $23.43. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$117.17
Average Hospital Charge
$461.53
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$461.53
Medicare Allowed$117.17
Medicare Payment$88.85

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $88.85 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$158$7202341+34.5%
Massachusetts$149$5534151,686+26.9%
New York$139$4867462,216+18.3%
Rhode Island$136$4174778+16.1%
Hawaii$135$3763267+15.0%
Connecticut$132$526147303+12.7%
New Jersey$131$616379867+12.1%
Nevada$128$29987345+9.3%
California$128$4241,0723,630+9.1%
Pennsylvania$127$3776871,884+8.3%
Maryland$126$550308744+7.1%
Virginia$120$398401950+2.6%
District of Columbia$120$4212561+2.3%
Illinois$119$5186151,504+1.7%
Puerto Rico$119$1581235+1.6%
Oklahoma$118$346181377+0.8%
New Mexico$118$38175134+0.6%
Wyoming$117$4261945-0.2%
Arkansas$117$304164511-0.5%
Florida$116$4461,1923,062-1.1%
Michigan$114$382443836-2.3%
Louisiana$112$462211444-4.5%
Alabama$112$375202459-4.8%
Colorado$110$504237484-5.9%
Texas$110$4949442,201-6.5%
Ohio$109$4024871,063-6.7%
Wisconsin$109$724307548-6.8%
Washington$109$409284520-7.0%
Oregon$108$431162326-7.6%
Montana$108$37457132-7.8%
Nebraska$107$457138299-8.3%
Vermont$107$3954174-8.4%
Minnesota$107$554261427-8.5%
Maine$107$41967108-8.8%
Tennessee$107$404347714-8.9%
Kansas$106$448198376-9.3%
New Hampshire$106$54992166-9.5%
Arizona$105$424294708-10.3%
South Carolina$104$372312900-11.3%
North Carolina$104$4085231,206-11.6%
Delaware$103$55977168-11.7%
South Dakota$102$31164162-13.0%
West Virginia$102$40983189-13.2%
Iowa$101$543171328-13.7%
Indiana$101$608359943-13.8%
North Dakota$101$4213582-14.1%
Utah$100$349108180-14.6%
Kentucky$100$440181364-14.9%
Mississippi$98$538167422-16.1%
Missouri$98$530299624-16.7%
Idaho$98$34573141-16.7%
Georgia$97$4983741,056-17.0%

⚠️ 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