Rhode Island · 17110

Destruction Of Skin Growth, 1-14 Growths in Rhode Island

Rhode Island Medicare Avg
$76.63
2% above national avg
National Medicare Avg
$74.80
All states combined
Billed Charge (RI)
$251.35
What providers submit
Est. Commercial (RI)
$261.11
National avg: $233.63
Est. Cash / Self-Pay (RI)
$149.06
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

11.7K
Services in RI
173
Providers
N/A
Min Payment
N/A
Max Payment

Rhode Island Pricing in Context

In Rhode Island, CPT code 17110 (Destruction Of Skin Growth, 1-14 Growths) carries an average Medicare payment of $76.63 — 2% above the national benchmark of $74.80. 173 providers across the state submitted claims for this procedure in 2023, performing 11.7K total services. Individual payments in RI ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Rhode Island is $251.35, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Rhode Island sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Skin/Integumentary Surgery procedures, the estimated commercial insurance price in Rhode Island lands near $261.11, with self-pay cash prices typically around $149.06. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Destruction Of Skin Growth, 1-14 Growths cost in Rhode Island?

The average Medicare payment for Destruction Of Skin Growth, 1-14 Growths in Rhode Island is $76.63, which is 2% above the national average of $74.80. Providers in RI typically bill $251.35 for this procedure.

What does Destruction Of Skin Growth, 1-14 Growths cost with insurance in Rhode Island?

With commercial insurance in Rhode Island, Destruction Of Skin Growth, 1-14 Growths costs an estimated $261.11. Without insurance, the estimated cash price is $149.06. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Destruction Of Skin Growth, 1-14 Growths in Rhode Island?

173 providers in Rhode Island billed Medicare for Destruction Of Skin Growth, 1-14 Growths in 2023, performing 11.7K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Destruction Of Skin Growth, 1-14 Growths cheaper in Rhode Island than the national average?

No — Destruction Of Skin Growth, 1-14 Growths costs 2% above the national average in Rhode Island. The state average Medicare payment is $76.63 compared to $74.80 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial