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CPT 11400 · Surgery · Skin & Subcutaneous

Exc tr-ext b9+marg 0.5 cm<

Benign skin lesion removal from trunk or extremity costs range from $76.87 at Medicare facilities to $703.59 at hospital outpatient centers, creating a potential difference of $626.72 depending on your care setting.

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

Medicare + CMS benchmark data
Publicly available pricing
Updated 2026-04-03
Rate comparison — Exc tr-ext b9+marg 0.5 cm<
Medicare facility$77ASC rate$91Non-facility$99Hospital outpatient$704$627 difference between lowest and highest rate
$77
Medicare facility rate
$99
Non-facility rate
$91
ASC rate
$613
ASC vs hospital gap

This procedure removes benign (non-cancerous) skin growths like moles, cysts, or lipomas from the trunk or arms/legs, with minimal surrounding tissue removal. Patients typically receive this for cosmetic concerns or when growths cause irritation. CPT 11400 charges vary significantly by facility type, with hospital outpatient departments billing 8.2x higher than physician offices for identical procedures.

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The $613 gap between ASC and hospital outpatient for Exc tr-ext b9+marg 0.5 cm< is one of the most common billing discrepancies we identify.
Compare by care setting
The same procedure costs different amounts depending on where you receive care.
$704
Hospital Outpatient rate for Exc tr-ext b9+marg 0.5 cm<
Medicare facility benchmark: $77
Regional rate comparison — Exc tr-ext b9+marg 0.5 cm<
Top 5 lowest and highest localities by Medicare facility rate
National avg $77REST OF ILLINOIS, IL$89DETROIT, MI$93QUEENS, NY$95MIAMI, FL$117CHICAGO, IL$110NYC SUBURBS/LONG ISLAND, NY$105

Facility rate

$77

National Medicare benchmark

Non-facility rate

$99

Office setting benchmark

Data sources

4

24 data points

Key insights for CPT 11400

ASC vs hospital outpatient savings

$613

Having this done at an ambulatory surgery center costs $91 vs $704 at a hospital outpatient

Facility vs office setting

$22 difference

Facility setting is less expensive for this procedure

What this procedure costs across different settings

The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.

SettingMedicare ratevs lowest
Facility (physician office)$77Lowest
Non-facility (office)$99+29%
Outpatient (APC)$704+815%
Ambulatory surgery (ASC)$91+18%

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About this data

Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).

This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.

Related procedures

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.

Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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