17281

Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm

Medicare pricing data for 6,752 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $67 in South Dakota to $184 in District of Columbia. Where you get this procedure matters more than almost any other factor. 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 cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS code 17281) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $149.56, but hospitals typically charge $329.09 — a 2.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$29.91

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $149.56, your out-of-pocket cost would be approximately $29.91. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$149.56
Average Hospital Charge
$329.09
Markup Ratio
2.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$329.09
Medicare Allowed$149.56
Medicare Payment$112.86

Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $112.86 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$184$315874+22.9%
New York$180$4343662,049+20.6%
New Jersey$180$3131951,264+20.2%
Connecticut$179$35657243+19.4%
Maryland$174$364106804+16.4%
Massachusetts$170$510154826+13.5%
Wyoming$167$3951046+11.8%
Virginia$165$3021501,364+10.6%
Colorado$163$322135715+9.3%
Hawaii$163$34132240+9.1%
Delaware$163$3281682+9.0%
Puerto Rico$163$1821133+8.9%
California$163$2925846,315+8.8%
Oregon$163$485106616+8.7%
Maine$160$38736332+7.0%
Michigan$160$301157698+7.0%
Illinois$158$3881971,638+5.8%
Texas$157$3434523,449+5.0%
Florida$157$3017327,212+4.9%
Pennsylvania$157$3353012,609+4.9%
Rhode Island$157$42831108+4.7%
Georgia$156$3701731,613+4.2%
Washington$154$337141641+2.7%
Ohio$153$322168881+2.6%
New Hampshire$152$75944225+1.9%
New Mexico$151$41748630+1.2%
Nevada$151$35536206+0.8%
Montana$151$42036152+0.7%
Louisiana$150$32591712+0.2%
Arizona$149$3412122,425-0.2%
Kansas$149$42277906-0.4%
Indiana$147$2981401,244-1.4%
Utah$147$3071111,160-1.6%
Kentucky$146$3041001,217-2.5%
Missouri$146$347110952-2.5%
Wisconsin$145$573104446-2.9%
Tennessee$144$2991521,193-3.8%
North Carolina$144$3382842,770-3.8%
Alabama$143$25492848-4.5%
Oklahoma$142$308801,306-4.7%
South Carolina$142$3511141,888-5.2%
West Virginia$141$37144365-5.8%
Iowa$140$44270503-6.1%
Minnesota$135$453104308-9.5%
Mississippi$134$31155671-10.1%
Vermont$134$25811100-10.2%
Arkansas$128$250851,956-14.2%
Idaho$128$31051213-14.5%
Nebraska$126$364681,176-15.7%
North Dakota$121$2791996-19.0%
South Dakota$67$172362,966-55.0%

⚠️ 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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