11900

Injection into skin growth, 1-7 growths

Medicare pricing data for 23,610 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

Injection into skin growth, 1-7 growths (HCPCS code 11900) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $45.56, but hospitals typically charge $129.44 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$9.11

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $45.56, your out-of-pocket cost would be approximately $9.11. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$45.56
Average Hospital Charge
$129.44
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$129.44
Medicare Allowed$45.56
Medicare Payment$33.18

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $33.18 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$56$13688627+22.4%
Alaska$54$23748281+17.6%
New York$53$1761,74424,019+15.7%
Connecticut$51$1572762,288+12.1%
Puerto Rico$51$7150151+11.7%
Maryland$51$1295075,850+11.5%
New Jersey$51$14275311,336+10.9%
California$50$1262,48134,061+9.7%
Hawaii$48$11679763+5.6%
Massachusetts$48$1757366,524+4.9%
Illinois$47$1479029,744+4.2%
Virginia$47$1156016,756+3.5%
Delaware$47$10263662+2.7%
Colorado$46$1324284,028+1.6%
Washington$45$1235364,802-0.7%
Pennsylvania$45$1139779,011-1.4%
Rhode Island$45$128100765-1.9%
Michigan$44$1067558,516-2.9%
Georgia$44$1316456,828-3.6%
Florida$44$1112,14426,059-4.0%
Nevada$44$1161701,876-4.5%
Wyoming$43$13037497-5.0%
Texas$43$1231,45516,324-5.3%
Missouri$42$1143753,330-6.9%
Oregon$42$1453022,140-7.2%
Louisiana$42$1043233,757-7.2%
Minnesota$42$1694392,748-7.3%
Arizona$42$1176026,580-8.0%
Ohio$42$1197586,681-8.2%
Mississippi$42$1111611,616-8.6%
North Carolina$42$1137947,386-8.8%
Kentucky$41$1082632,391-9.2%
Indiana$41$1213963,499-9.7%
South Carolina$41$1053434,947-9.9%
Maine$41$12681585-9.9%
New Hampshire$41$1741301,145-10.8%
Tennessee$41$1094895,647-10.9%
Wisconsin$40$2134102,989-11.6%
Utah$40$1082581,566-12.6%
Kansas$40$1131991,955-12.9%
Oklahoma$39$1121801,681-13.5%
West Virginia$39$10999781-14.2%
New Mexico$39$12097644-14.3%
Alabama$39$1063162,946-14.5%
Nebraska$39$1341431,365-15.0%
Iowa$39$1472302,272-15.1%
Montana$38$101101961-15.7%
Idaho$38$1081431,023-17.2%
Vermont$37$9239386-19.3%
Arkansas$37$921591,573-19.5%
North Dakota$34$10668498-24.4%
South Dakota$34$12998990-25.4%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber