Cost analysis for CPT 11042 — Removal of skin and tissue, 20.0 sq cm or less
Average Medicare Payment
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Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 1.9x more than the cheapest for this procedure. CA averages $82.64 vs SD at $44.26.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CA | $82.64 | $18.7M | 225.7K | 1.0K |
| WY | $81.89 | $46.1K | 563 | 5 |
| XX | $79.11 | $18.4K | 233 | 1 |
| NM | $77.07 | $483.3K | 6.3K | 66 |
| MD | $75.66 | $2.5M | 33.0K | 214 |
| NY | $75.40 | $6.1M | 80.6K | 502 |
| NJ | $75.07 | $5.1M | 67.8K | 437 |
| HI | $74.16 | $393.1K | 5.3K | 28 |
| DC | $72.67 | $233.6K | 3.2K | 18 |
| WV | $71.86 | $773.3K | 10.8K | 57 |
| OR | $71.42 | $733.9K | 10.3K | 95 |
| MP | $70.03 | $36.2K | 517 | 1 |
| IL | $68.71 | $4.8M | 70.1K | 477 |
| RI | $68.40 | $519.4K | 7.6K | 46 |
| UT | $67.76 | $1.1M | 16.0K | 119 |
| TX | $67.65 | $10.3M | 152.4K | 791 |
| FL | $67.55 | $17.4M | 257.7K | 1.0K |
| VA | $67.34 | $2.6M | 38.4K | 270 |
| PA | $66.77 | $3.4M | 50.7K | 434 |
| NV | $66.35 | $1.3M | 20.1K | 115 |
| WA | $66.22 | $1.8M | 27.1K | 172 |
| CO | $66.16 | $1.1M | 16.7K | 133 |
| VT | $65.98 | $43.1K | 653 | 12 |
| GA | $65.72 | $2.0M | 30.2K | 238 |
| DE | $65.55 | $286.8K | 4.4K | 32 |
| CT | $65.54 | $1.2M | 18.3K | 124 |
| AZ | $64.69 | $1.9M | 30.0K | 237 |
| MI | $64.47 | $2.4M | 36.9K | 356 |
| MO | $62.54 | $2.1M | 34.3K | 206 |
| MA | $62.45 | $2.8M | 45.1K | 245 |
| AK | $62.38 | $62.3K | 998 | 8 |
| LA | $62.33 | $2.0M | 32.2K | 197 |
| NH | $61.75 | $404.2K | 6.5K | 41 |
| ID | $58.06 | $510.4K | 8.8K | 67 |
| MN | $57.79 | $610.9K | 10.6K | 103 |
| KY | $57.15 | $1.5M | 25.7K | 170 |
| OH | $57.00 | $4.0M | 70.7K | 536 |
| WI | $56.98 | $929.4K | 16.3K | 135 |
| TN | $56.51 | $2.3M | 40.1K | 250 |
| IN | $56.42 | $2.7M | 48.6K | 292 |
| OK | $56.41 | $1.5M | 27.2K | 138 |
| ND | $56.14 | $102.9K | 1.8K | 24 |
| MS | $56.04 | $1.9M | 33.2K | 138 |
| GU | $55.95 | $11.0K | 196 | 3 |
| SC | $55.44 | $1.5M | 26.4K | 174 |
| NC | $55.41 | $2.9M | 53.1K | 328 |
| IA | $53.56 | $984.7K | 18.4K | 124 |
| MT | $53.35 | $442.9K | 8.3K | 49 |
| KS | $52.57 | $1.0M | 19.4K | 102 |
| NE | $52.19 | $420.0K | 8.0K | 66 |
| AL | $51.88 | $1.1M | 21.1K | 139 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Richard Park | Internal Medicine | CA | $1.1M | 9.6K | $114.10 |
| Joseph Sidaoui | General Surgery | NY | $473.2K | 7.6K | $62.24 |
| Joseph Wolcott | Undersea and Hyperbaric Medicine | TX | $394.3K | 4.2K | $94.30 |
| Kazuo Suzuki | Podiatry | CA | $318.0K | 3.2K | $99.83 |
| Nhean Chea | General Surgery | FL | $315.3K | 3.8K | $83.81 |
| Luis Rosas | General Surgery | FL | $308.2K | 8.2K | $37.52 |
| Joseph Palumbo | General Practice | WV | $303.3K | 2.6K | $116.29 |
| Nosheen Khan | Podiatry | NY | $253.4K | 2.3K | $109.41 |
| Jesus Hidalgo | General Surgery | TX | $241.2K | 2.5K | $94.87 |
| Louie Hendricks | General Surgery | CA | $229.9K | 2.3K | $100.10 |
| Virgil Hernandez | Podiatry | CA | $218.1K | 1.9K | $115.78 |
| Brendon Quinn | Family Practice | TX | $214.2K | 2.8K | $75.89 |
| Xingbo Sun | Podiatry | CA | $210.9K | 1.8K | $116.54 |
| David Zhu | General Practice | GA | $205.1K | 3.0K | $69.14 |
| Angela Crawford | Family Practice | FL | $204.3K | 2.8K | $73.72 |
| Owen Ellington | Internal Medicine | TX | $192.8K | 1.9K | $101.53 |
| George Northrop | Internal Medicine | CT | $190.6K | 1.7K | $109.93 |
| Julia Kohlhaas | General Surgery | TX | $175.7K | 1.9K | $91.34 |
| Chad Bailey | Nurse Practitioner | LA | $175.2K | 2.6K | $68.25 |
| Benyam Yoseph | General Practice | FL | $171.7K | 2.4K | $71.33 |
Based on the data, CPT 11042 shows a 1.9x variation in pricing across states — moderate variation by Medicare standards.
Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.