17004

Destruction of precancer skin growth, 15 or more growths

Medicare pricing data for 19,423 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

Destruction of precancer skin growth, 15 or more growths (HCPCS code 17004) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $163.41, but hospitals typically charge $365.63 — a 2.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$32.68

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $163.41, your out-of-pocket cost would be approximately $32.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$163.41
Average Hospital Charge
$365.63
Markup Ratio
2.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$365.63
Medicare Allowed$163.41
Medicare Payment$119.71

Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $119.71 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$191$58820222+16.8%
New York$188$4471,10746,158+14.8%
District of Columbia$187$369481,196+14.7%
California$184$3572,213152,015+12.5%
New Jersey$182$34451420,601+11.2%
Maryland$177$40434415,947+8.5%
Connecticut$177$3462125,837+8.1%
Massachusetts$176$49556516,140+8.0%
Hawaii$175$371805,674+7.3%
Puerto Rico$167$20725753+2.5%
Colorado$167$37642113,178+2.2%
Virginia$166$40047220,525+1.3%
Rhode Island$164$398851,996+0.6%
Pennsylvania$162$33065317,701-0.8%
Nevada$161$35916316,634-1.2%
Florida$160$3371,986117,491-2.0%
Delaware$160$304572,812-2.4%
Minnesota$159$4673455,108-2.7%
Montana$159$325883,554-2.9%
Wyoming$159$44228936-3.0%
Michigan$158$34654613,204-3.1%
Washington$157$34141912,964-3.9%
Texas$157$3501,33259,452-4.0%
Illinois$157$46964319,529-4.1%
Arizona$156$33454127,321-4.8%
New Hampshire$155$525982,747-5.0%
Oregon$154$4202767,214-5.6%
Maine$154$382641,459-5.8%
Utah$154$28626111,054-6.0%
Missouri$153$34531811,419-6.2%
Louisiana$153$32225813,311-6.4%
North Carolina$151$35268323,733-7.5%
Ohio$150$35759715,594-8.0%
Georgia$150$33252924,635-8.3%
New Mexico$149$376975,096-8.5%
South Carolina$148$31627320,773-9.4%
Indiana$148$41933513,170-9.6%
Kentucky$147$31422610,128-10.0%
Wisconsin$146$6742665,200-10.4%
Vermont$146$27728251-10.9%
Oklahoma$145$3662058,281-11.4%
Nebraska$144$3691505,378-11.7%
Kansas$144$3932105,759-11.8%
Tennessee$144$31643816,972-11.9%
Alabama$144$38530512,307-12.0%
Mississippi$143$4041228,146-12.2%
Arkansas$141$2901747,708-13.9%
West Virginia$138$345891,472-15.3%
Idaho$137$3591434,764-16.0%
Iowa$136$4672128,328-17.0%
North Dakota$135$365521,238-17.2%
South Dakota$131$328832,424-19.9%

⚠️ 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