11901

Injection into skin growth, more than 7 growths

Medicare pricing data for 7,794 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, more than 7 growths (HCPCS code 11901) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $63.65, but hospitals typically charge $155.03 — a 2.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$12.73

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $63.65, your out-of-pocket cost would be approximately $12.73. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$63.65
Average Hospital Charge
$155.03
Markup Ratio
2.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$155.03
Medicare Allowed$63.65
Medicare Payment$46.53

Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $46.53 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$76$21025494+19.1%
Maryland$71$1691692,282+12.1%
New York$70$17676811,437+10.7%
Connecticut$70$15386629+10.1%
Alaska$68$3251038+7.1%
California$68$1768846,930+6.2%
Virginia$67$1401711,446+5.1%
Massachusetts$67$2112251,144+4.8%
Illinois$66$1782441,206+4.1%
Hawaii$66$1511852+4.0%
New Jersey$65$1593443,632+2.6%
Delaware$65$12921105+1.8%
Rhode Island$64$17131119+0.6%
Michigan$64$1223026,433+0.4%
Colorado$64$164132448-0.0%
Oregon$63$17991497-1.5%
Washington$63$153156770-1.6%
Nevada$62$15368386-2.3%
Pennsylvania$61$1432561,394-3.5%
Texas$61$1484402,822-3.6%
Florida$61$1446793,935-4.3%
Georgia$61$1602081,284-4.5%
Wyoming$60$1511220-5.3%
New Hampshire$60$23142168-6.4%
Louisiana$59$1271031,313-6.6%
Ohio$59$1442101,256-7.0%
North Carolina$59$1392561,346-7.1%
Utah$59$13555153-7.6%
Arizona$59$142197790-7.8%
Minnesota$58$201160917-8.2%
Vermont$58$1181086-8.4%
Maine$58$1542393-8.5%
Montana$58$14129117-9.0%
Indiana$57$139110490-10.0%
Alabama$57$120111498-10.3%
South Carolina$57$127131778-10.3%
Nebraska$57$17239285-10.8%
Kansas$56$18863963-11.3%
Missouri$56$157116515-11.5%
Wisconsin$56$25699375-11.5%
Kentucky$56$108951,319-11.6%
Oklahoma$56$12239143-11.8%
New Mexico$56$1382583-11.9%
Arkansas$55$11238331-14.2%
Tennessee$54$1141591,202-14.5%
Puerto Rico$53$8428415-16.5%
West Virginia$53$1292884-16.8%
Idaho$52$13943178-17.7%
Iowa$52$18264234-18.0%
Mississippi$52$116572,167-18.9%
North Dakota$49$13622174-22.6%
South Dakota$44$11635197-31.0%

⚠️ 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