Simple separation of fingernail or toenail from nail bed, first nail
Medicare pricing data for 22,038 providers across 52 states
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
Simple separation of fingernail or toenail from nail bed, first nail (HCPCS code 11730) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $109.71, but hospitals typically charge $199.11 — a 1.8x 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 $109.71, your out-of-pocket cost would be approximately $21.94. 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 1.8x more than what Medicare allows for this procedure. Medicare actually pays $81.90 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $128 | $215 | 1,498 | 24,008 | +16.8% |
| New Jersey | $124 | $202 | 838 | 14,071 | +12.8% |
| District of Columbia | $123 | $254 | 36 | 139 | +12.4% |
| Maryland | $118 | $184 | 372 | 3,506 | +7.8% |
| Hawaii | $118 | $225 | 53 | 213 | +7.7% |
| Connecticut | $117 | $221 | 245 | 1,655 | +7.0% |
| Alaska | $117 | $430 | 71 | 191 | +6.5% |
| Delaware | $113 | $183 | 70 | 770 | +2.6% |
| Massachusetts | $112 | $240 | 515 | 5,891 | +1.8% |
| Rhode Island | $111 | $210 | 76 | 566 | +1.5% |
| Pennsylvania | $110 | $165 | 1,125 | 21,657 | +0.5% |
| Michigan | $110 | $164 | 781 | 10,618 | +0.4% |
| Colorado | $110 | $237 | 399 | 1,746 | +0.4% |
| Florida | $109 | $184 | 1,518 | 24,016 | -0.3% |
| California | $109 | $200 | 2,041 | 30,795 | -0.3% |
| Washington | $109 | $232 | 529 | 2,334 | -0.9% |
| Illinois | $108 | $196 | 954 | 12,052 | -1.4% |
| Puerto Rico | $107 | $112 | 34 | 199 | -2.1% |
| Arizona | $107 | $203 | 539 | 4,403 | -2.9% |
| Oregon | $106 | $236 | 281 | 1,081 | -3.1% |
| Wyoming | $105 | $229 | 65 | 147 | -3.9% |
| Virginia | $105 | $201 | 559 | 4,098 | -4.5% |
| Texas | $104 | $218 | 1,290 | 8,603 | -4.8% |
| Montana | $104 | $209 | 103 | 483 | -4.9% |
| New Mexico | $103 | $184 | 137 | 1,082 | -5.7% |
| Utah | $103 | $210 | 265 | 1,394 | -6.4% |
| North Carolina | $103 | $209 | 637 | 3,974 | -6.5% |
| Georgia | $102 | $228 | 538 | 3,970 | -7.1% |
| Nevada | $102 | $206 | 146 | 1,598 | -7.3% |
| South Carolina | $101 | $182 | 367 | 2,934 | -7.9% |
| Maine | $100 | $184 | 84 | 454 | -8.8% |
| Ohio | $99 | $183 | 827 | 4,728 | -10.0% |
| Indiana | $98 | $198 | 484 | 3,061 | -10.4% |
| Minnesota | $98 | $317 | 378 | 1,262 | -10.5% |
| Tennessee | $98 | $186 | 447 | 3,211 | -10.8% |
| Mississippi | $97 | $276 | 192 | 1,412 | -11.3% |
| Kentucky | $96 | $175 | 296 | 1,613 | -12.3% |
| Louisiana | $95 | $207 | 285 | 2,431 | -13.0% |
| Arkansas | $95 | $169 | 218 | 1,207 | -13.1% |
| Iowa | $95 | $262 | 290 | 1,289 | -13.1% |
| Wisconsin | $95 | $356 | 433 | 1,584 | -13.3% |
| Nebraska | $95 | $194 | 185 | 1,341 | -13.3% |
| Alabama | $94 | $174 | 287 | 2,152 | -14.7% |
| Oklahoma | $93 | $188 | 256 | 1,700 | -15.5% |
| Kansas | $92 | $168 | 256 | 1,617 | -16.1% |
| Missouri | $92 | $188 | 438 | 2,229 | -16.2% |
| New Hampshire | $92 | $254 | 91 | 365 | -16.5% |
| Idaho | $91 | $213 | 187 | 691 | -16.9% |
| West Virginia | $90 | $202 | 97 | 557 | -17.9% |
| North Dakota | $83 | $261 | 79 | 328 | -24.8% |
| Vermont | $76 | $161 | 55 | 140 | -30.4% |
| South Dakota | $74 | $182 | 77 | 234 | -32.6% |
⚠️ 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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