13101

Complicated repair of wound of trunk, 2.6-7.5 cm

Medicare pricing data for 9,576 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

Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS code 13101) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $324.95, but hospitals typically charge $921.98 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$64.99

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $324.95, your out-of-pocket cost would be approximately $64.99. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$324.95
Average Hospital Charge
$921.98
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$921.98
Medicare Allowed$324.95
Medicare Payment$253.44

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $253.44 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$369$4361762+13.4%
California$361$9921,24112,642+11.0%
Hawaii$359$84826186+10.6%
Colorado$350$8901721,492+7.6%
New York$349$1,4265805,381+7.3%
Florida$345$8201,20819,353+6.2%
New Jersey$343$1,2983063,227+5.6%
Virginia$341$9122081,730+4.9%
Massachusetts$339$1,1041911,797+4.4%
Minnesota$337$1,099114594+3.7%
Nevada$335$8331081,149+3.2%
North Carolina$327$8522732,370+0.7%
Washington$325$8652081,762+0.1%
Arizona$322$7873103,772-1.0%
District of Columbia$320$95239240-1.4%
Illinois$319$1,0533353,271-1.7%
Alaska$317$1,5561730-2.4%
Pennsylvania$317$7833613,118-2.4%
Connecticut$314$1,06882588-3.3%
New Hampshire$313$1,00137308-3.6%
Montana$313$69632151-3.7%
Idaho$312$62135164-3.9%
Michigan$309$7672181,123-4.9%
Kentucky$308$668115970-5.1%
Texas$307$8566265,108-5.5%
New Mexico$305$88837211-6.0%
Utah$305$72193416-6.1%
Maryland$304$8731981,570-6.5%
West Virginia$303$79253371-6.6%
Delaware$301$70831754-7.5%
Oregon$300$99295638-7.6%
Wisconsin$300$1,427132744-7.6%
South Carolina$298$7801501,707-8.3%
Iowa$298$87765317-8.4%
North Dakota$293$78026272-9.8%
Nebraska$293$85246245-9.9%
Georgia$292$9253193,638-10.0%
Tennessee$291$6881781,565-10.3%
Missouri$288$8861611,646-11.5%
Ohio$288$7872741,930-11.5%
Rhode Island$280$91942268-13.8%
Indiana$277$9261562,052-14.8%
Maine$275$7902180-15.3%
Alabama$270$7201431,561-16.8%
Kansas$269$863111740-17.1%
Louisiana$259$89295521-20.2%
Vermont$256$6491244-21.2%
South Dakota$253$50931251-22.1%
Oklahoma$248$81970487-23.8%
Mississippi$247$1,19077412-24.0%
Arkansas$224$66471759-31.1%
Wyoming$219$86111263-32.7%

⚠️ 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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