Complicated repair of wound of trunk, 2.6-7.5 cm
Medicare pricing data for 9,576 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
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $369 | $436 | 17 | 62 | +13.4% |
| California | $361 | $992 | 1,241 | 12,642 | +11.0% |
| Hawaii | $359 | $848 | 26 | 186 | +10.6% |
| Colorado | $350 | $890 | 172 | 1,492 | +7.6% |
| New York | $349 | $1,426 | 580 | 5,381 | +7.3% |
| Florida | $345 | $820 | 1,208 | 19,353 | +6.2% |
| New Jersey | $343 | $1,298 | 306 | 3,227 | +5.6% |
| Virginia | $341 | $912 | 208 | 1,730 | +4.9% |
| Massachusetts | $339 | $1,104 | 191 | 1,797 | +4.4% |
| Minnesota | $337 | $1,099 | 114 | 594 | +3.7% |
| Nevada | $335 | $833 | 108 | 1,149 | +3.2% |
| North Carolina | $327 | $852 | 273 | 2,370 | +0.7% |
| Washington | $325 | $865 | 208 | 1,762 | +0.1% |
| Arizona | $322 | $787 | 310 | 3,772 | -1.0% |
| District of Columbia | $320 | $952 | 39 | 240 | -1.4% |
| Illinois | $319 | $1,053 | 335 | 3,271 | -1.7% |
| Alaska | $317 | $1,556 | 17 | 30 | -2.4% |
| Pennsylvania | $317 | $783 | 361 | 3,118 | -2.4% |
| Connecticut | $314 | $1,068 | 82 | 588 | -3.3% |
| New Hampshire | $313 | $1,001 | 37 | 308 | -3.6% |
| Montana | $313 | $696 | 32 | 151 | -3.7% |
| Idaho | $312 | $621 | 35 | 164 | -3.9% |
| Michigan | $309 | $767 | 218 | 1,123 | -4.9% |
| Kentucky | $308 | $668 | 115 | 970 | -5.1% |
| Texas | $307 | $856 | 626 | 5,108 | -5.5% |
| New Mexico | $305 | $888 | 37 | 211 | -6.0% |
| Utah | $305 | $721 | 93 | 416 | -6.1% |
| Maryland | $304 | $873 | 198 | 1,570 | -6.5% |
| West Virginia | $303 | $792 | 53 | 371 | -6.6% |
| Delaware | $301 | $708 | 31 | 754 | -7.5% |
| Oregon | $300 | $992 | 95 | 638 | -7.6% |
| Wisconsin | $300 | $1,427 | 132 | 744 | -7.6% |
| South Carolina | $298 | $780 | 150 | 1,707 | -8.3% |
| Iowa | $298 | $877 | 65 | 317 | -8.4% |
| North Dakota | $293 | $780 | 26 | 272 | -9.8% |
| Nebraska | $293 | $852 | 46 | 245 | -9.9% |
| Georgia | $292 | $925 | 319 | 3,638 | -10.0% |
| Tennessee | $291 | $688 | 178 | 1,565 | -10.3% |
| Missouri | $288 | $886 | 161 | 1,646 | -11.5% |
| Ohio | $288 | $787 | 274 | 1,930 | -11.5% |
| Rhode Island | $280 | $919 | 42 | 268 | -13.8% |
| Indiana | $277 | $926 | 156 | 2,052 | -14.8% |
| Maine | $275 | $790 | 21 | 80 | -15.3% |
| Alabama | $270 | $720 | 143 | 1,561 | -16.8% |
| Kansas | $269 | $863 | 111 | 740 | -17.1% |
| Louisiana | $259 | $892 | 95 | 521 | -20.2% |
| Vermont | $256 | $649 | 12 | 44 | -21.2% |
| South Dakota | $253 | $509 | 31 | 251 | -22.1% |
| Oklahoma | $248 | $819 | 70 | 487 | -23.8% |
| Mississippi | $247 | $1,190 | 77 | 412 | -24.0% |
| Arkansas | $224 | $664 | 71 | 759 | -31.1% |
| Wyoming | $219 | $861 | 11 | 263 | -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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