30117

Removal or destruction of growth of nose through nose

Medicare pricing data for 3,501 providers across 47 states

🤖AI Overview

Prices vary significantly by location — from $226 in West Virginia to $986 in Rhode Island. 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

Removal or destruction of growth of nose through nose (HCPCS code 30117) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $559.30, but hospitals typically charge $2,333 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$111.86

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $559.30, your out-of-pocket cost would be approximately $111.86. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$559.30
Average Hospital Charge
$2,333
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,333.17
Medicare Allowed$559.30
Medicare Payment$443.96

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $443.96 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Rhode Island$986$2,044315+76.2%
Montana$722$1,751724+29.2%
Oregon$719$2,8114382+28.6%
New Mexico$678$2,293516+21.3%
New York$675$3,9841631,024+20.7%
Delaware$674$2,1426123+20.5%
District of Columbia$665$1,892669+19.0%
Nebraska$661$2,5811174+18.2%
New Jersey$660$2,922112509+18.0%
New Hampshire$642$2,4271336+14.7%
Colorado$640$2,50368213+14.4%
Connecticut$630$2,64417213+12.6%
Nevada$623$2,2701186+11.3%
California$619$2,6403812,416+10.6%
Maryland$615$2,046100578+10.0%
Florida$606$2,0523042,377+8.4%
Massachusetts$599$2,67764211+7.2%
Maine$597$1,639594+6.7%
Georgia$575$2,649122523+2.8%
Virginia$573$2,050102359+2.4%
Washington$572$2,35466486+2.3%
Hawaii$564$1,664779+0.8%
Minnesota$556$3,02132259-0.6%
Iowa$553$2,45831104-1.1%
North Carolina$552$2,208112547-1.2%
Pennsylvania$552$1,853130673-1.3%
Kansas$549$2,62640190-1.8%
Texas$547$2,3783603,032-2.2%
Illinois$541$2,5681211,368-3.2%
Michigan$539$2,02692606-3.6%
Kentucky$536$1,63249498-4.2%
Arkansas$534$1,7122889-4.6%
Idaho$518$2,0721959-7.3%
South Carolina$515$2,04950371-8.0%
Tennessee$512$2,13294543-8.5%
Arizona$509$1,809851,837-8.9%
Louisiana$504$2,06688567-9.8%
Wisconsin$501$3,32050637-10.5%
Utah$473$2,06036156-15.5%
Missouri$469$1,73851446-16.1%
Alabama$459$1,27068398-17.9%
Indiana$458$2,23278521-18.1%
Oklahoma$455$1,92132210-18.6%
Ohio$436$1,80287217-22.1%
South Dakota$426$2,2421755-23.8%
Mississippi$416$2,26550368-25.6%
West Virginia$226$1,1771023-59.7%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber