Indiana · 41112

Removal Of Growth Of Front 2/3 Of Tongue With Switches in Indiana

Indiana Medicare Avg
$356.51
28% above national avg
National Medicare Avg
$277.64
All states combined
Billed Charge (IN)
$2,479.31
What providers submit
Est. Commercial (IN)
$960.09
National avg: $805.57
Est. Cash / Self-Pay (IN)
$1,024.70
Typical self-pay discount

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

60
Services in IN
45
Providers
N/A
Min Payment
N/A
Max Payment

Indiana Pricing in Context

In Indiana, CPT code 41112 (Removal Of Growth Of Front 2/3 Of Tongue With Switches) carries an average Medicare payment of $356.51 — 28% above the national benchmark of $277.64. 45 providers across the state submitted claims for this procedure in 2023, performing 60 total services. Individual payments in IN 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 Indiana is $2,479.31, 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 Indiana 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 Digestive Surgery procedures, the estimated commercial insurance price in Indiana lands near $960.09, with self-pay cash prices typically around $1,024.70. 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 Removal Of Growth Of Front 2/3 Of Tongue With Switches cost in Indiana?

The average Medicare payment for Removal Of Growth Of Front 2/3 Of Tongue With Switches in Indiana is $356.51, which is 28% above the national average of $277.64. Providers in IN typically bill $2,479.31 for this procedure.

What does Removal Of Growth Of Front 2/3 Of Tongue With Switches cost with insurance in Indiana?

With commercial insurance in Indiana, Removal Of Growth Of Front 2/3 Of Tongue With Switches costs an estimated $960.09. Without insurance, the estimated cash price is $1,024.70. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Removal Of Growth Of Front 2/3 Of Tongue With Switches in Indiana?

45 providers in Indiana billed Medicare for Removal Of Growth Of Front 2/3 Of Tongue With Switches in 2023, performing 60 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Removal Of Growth Of Front 2/3 Of Tongue With Switches cheaper in Indiana than the national average?

No — Removal Of Growth Of Front 2/3 Of Tongue With Switches costs 28% above the national average in Indiana. The state average Medicare payment is $356.51 compared to $277.64 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