Application of light by qualified health care professional to destroy precancer skin growth
Medicare pricing data for 2,781 providers across 49 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
Application of light by qualified health care professional to destroy precancer skin growth (HCPCS code 96573) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $220.38, but hospitals typically charge $457.62 — a 2.1x 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 $220.38, your out-of-pocket cost would be approximately $44.08. 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 2.1x more than what Medicare allows for this procedure. Medicare actually pays $163.00 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $270 | $570 | 14 | 105 | +22.4% |
| California | $264 | $420 | 327 | 4,866 | +19.9% |
| Hawaii | $255 | $404 | 9 | 62 | +15.5% |
| New York | $250 | $554 | 153 | 1,525 | +13.5% |
| Connecticut | $247 | $732 | 42 | 241 | +12.0% |
| New Jersey | $243 | $423 | 99 | 686 | +10.2% |
| Maryland | $242 | $501 | 40 | 728 | +9.6% |
| Massachusetts | $241 | $645 | 65 | 809 | +9.5% |
| Washington | $235 | $574 | 31 | 259 | +6.8% |
| New Hampshire | $235 | $657 | 14 | 109 | +6.6% |
| Colorado | $231 | $468 | 56 | 872 | +4.8% |
| Illinois | $226 | $538 | 100 | 875 | +2.6% |
| Minnesota | $224 | $567 | 24 | 118 | +1.7% |
| Nevada | $222 | $508 | 22 | 214 | +0.6% |
| Wyoming | $221 | $513 | 11 | 129 | +0.2% |
| Pennsylvania | $219 | $395 | 98 | 1,063 | -0.8% |
| Texas | $218 | $396 | 150 | 1,621 | -1.0% |
| Oregon | $216 | $545 | 27 | 241 | -1.8% |
| Virginia | $216 | $369 | 65 | 794 | -1.9% |
| Montana | $214 | $546 | 15 | 158 | -3.0% |
| Florida | $212 | $421 | 397 | 3,827 | -3.6% |
| Rhode Island | $212 | $512 | 10 | 61 | -3.7% |
| Michigan | $210 | $459 | 55 | 244 | -4.7% |
| Maine | $208 | $652 | 5 | 63 | -5.7% |
| Ohio | $206 | $485 | 91 | 876 | -6.5% |
| Louisiana | $205 | $470 | 35 | 443 | -6.8% |
| South Dakota | $205 | $526 | 14 | 225 | -6.9% |
| North Carolina | $205 | $440 | 69 | 1,114 | -7.0% |
| South Carolina | $202 | $439 | 23 | 310 | -8.5% |
| Georgia | $201 | $591 | 79 | 649 | -8.9% |
| Missouri | $201 | $436 | 53 | 667 | -9.0% |
| North Dakota | $200 | $441 | 5 | 37 | -9.3% |
| Delaware | $200 | $414 | 4 | 19 | -9.4% |
| Arizona | $198 | $364 | 65 | 1,303 | -10.0% |
| Wisconsin | $198 | $915 | 28 | 306 | -10.3% |
| New Mexico | $197 | $445 | 8 | 63 | -10.6% |
| Oklahoma | $196 | $350 | 22 | 427 | -10.8% |
| Iowa | $196 | $475 | 31 | 347 | -10.9% |
| Nebraska | $193 | $434 | 20 | 362 | -12.4% |
| Indiana | $193 | $416 | 89 | 1,090 | -12.5% |
| Tennessee | $192 | $328 | 36 | 371 | -12.8% |
| Kentucky | $189 | $305 | 29 | 236 | -14.3% |
| Mississippi | $189 | $566 | 23 | 263 | -14.5% |
| Alabama | $188 | $400 | 47 | 350 | -14.6% |
| West Virginia | $186 | $416 | 20 | 183 | -15.4% |
| Arkansas | $184 | $294 | 33 | 210 | -16.4% |
| Utah | $184 | $318 | 44 | 308 | -16.5% |
| Kansas | $182 | $527 | 49 | 1,617 | -17.6% |
| Idaho | $181 | $288 | 19 | 114 | -17.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber