Dstr mal les s/n/h/f/g 3.1-4
Removing malignant skin lesions measuring 3.1-4 centimeters costs between $139.64-$399.53 depending on facility type, with potential differences of $259.89 making bill verification essential.
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
This procedure removes cancerous skin growths measuring 3.1 to 4 centimeters from specific body areas including the scalp, neck, hands, feet, or genital region. Patients with diagnosed skin cancers like melanoma or squamous cell carcinoma typically require this treatment. Medicare reimbursement for code 17274 differs significantly from facility charges, with potential billing variations of several thousand dollars depending on the treatment location.
No credit card required. Results in 60 seconds.
Facility rate
$140
National Medicare benchmark
Non-facility rate
$99
Office setting benchmark
Data sources
4
24 data points
Key insights for CPT 17274
ASC vs hospital outpatient savings
$256Having this done at an ambulatory surgery center costs $144 vs $400 at a hospital outpatient
Facility vs office setting
$41 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) | $140 | +41% |
| Non-facility (office) | $99 | Lowest |
| Outpatient (APC) | $400 | +304% |
| Ambulatory surgery (ASC) | $144 | +45% |
Got a bill with CPT 17274?
Upload your bill and our AI compares every line item against these exact benchmark rates. Free analysis in 60 seconds — you only pay if we find savings.
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.
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