Exc face-mm b9+marg 1.1-2 cm
Surgical removal of benign skin lesions from facial areas costs between $123-$704 depending on facility type, making bill verification essential given the potential $580 difference across care settings.
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
This procedure removes benign skin growths from facial areas including eyelids, eyebrows, nose, and lips when the lesion measures 1.1 to 2.0 centimeters with surrounding tissue margins. Patients typically receive this treatment for moles, cysts, or other non-cancerous skin lesions that are cosmetically concerning or potentially irritating. Medicare reimbursement for CPT 11442 averages $430, though facility charges can vary significantly based on the care setting.
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Facility rate
$133
National Medicare benchmark
Non-facility rate
$99
Office setting benchmark
Data sources
4
24 data points
Key insights for CPT 11442
ASC vs hospital outpatient savings
$580Having this done at an ambulatory surgery center costs $123 vs $704 at a hospital outpatient
Facility vs office setting
$34 differenceNon-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.
| Setting | Medicare rate | vs lowest |
|---|---|---|
| Facility (physician office) | $133 | +34% |
| Non-facility (office) | $99 | Lowest |
| Outpatient (APC) | $704 | +611% |
| Ambulatory surgery (ASC) | $123 | +24% |
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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
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