CPT96920

Laser Treatment for Skin Cost in Massachusetts

Excimer lsr psriasis<250sqcm

$246Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
Complete Cost Report + Letters
Adds the letters that get a price in writing before you book.
$6.99
  • Everything in the Premium report
  • 15 nearby hospitals instead of five
  • Filled good-faith-estimate request letter
  • Bill-negotiation letter
  • Printable PDF download
🔒 Secure checkout⚡ Instant link✓ One-off, no account✓ No records, no insurance card

Massachusetts Medicare physician rate (2026)

+10.2% vs national

Average of 2 localities. Office range $143.91–$160.16.

Massachusetts (Hospital)
$43.22
Facility physician fee
Private plan est.
$198–$304
~130–200% of Medicare
Cash / self-pay est.
$122–$228
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Physician fee alone
$41
Only 17% of the hospital total

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Massachusetts

Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.

What laser treatment for skin costs at hospitals near you

Everything above is a national average. The hospital you pick in Massachusetts moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.

What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Massachusetts the office and hospital physician lines for this CPT differ by $108.82.

National vs Massachusetts

National office$137.95
National hospital (physician)$41.08
Massachusetts vs national10% above the national office rate of $137.95

Where Massachusetts ranks for this CPT

Rank (lowest physician fee first)#45 of 51
Lowest stateArkansas ($121.85)
Highest stateDistrict of Columbia ($159.06)

CPT 96920 by Massachusetts locality

LocalityOffice
metropolitan boston$160.16
rest of massachusetts$143.91

PE GPCI ranges from 1.053 to 1.194 in Massachusetts. That index is why the same CPT is not one price statewide.

Laser Treatment for Skin and how Massachusetts is priced

Massachusetts is priced through two localities: metro Boston and the rest of the state. Boston's locality carries clearly higher geographic adjustments, reflecting some of the highest medical wages and office costs in the nation, while Worcester, Springfield, and the Cape share the lower rest-of-state factors. The split means the fee schedule itself acknowledges what everyone in the state already knows about Boston prices. Even so, rest-of-state Massachusetts still prices above most of the country.

Boston has arguably the densest concentration of academic medical centers anywhere, and its teaching hospitals pull referrals from all of New England and beyond. That prestige comes with a high-cost market structure that state policymakers have scrutinized for years. Western Massachusetts operates more like a regional market centered on Springfield, and Cape and islands residents contend with seasonal capacity strain.

This procedure: This is laser treatment, typically with an excimer laser, for inflammatory skin disease such as psoriasis or vitiligo covering a total area under 250 square centimeters, roughly the size of a hand or two. The laser delivers targeted ultraviolet light only to affected patches, sparing normal skin and allowing stronger dosing than whole-body light booths. Each session takes 10 to 20 minutes with a mild sunburn-like sensation, and a course involves two or three sessions weekly for several weeks.

What Is Laser Treatment for Skin?

This is laser treatment, typically with an excimer laser, for inflammatory skin disease such as psoriasis or vitiligo covering a total area under 250 square centimeters, roughly the size of a hand or two. The laser delivers targeted ultraviolet light only to affected patches, sparing normal skin and allowing stronger dosing than whole-body light booths. Each session takes 10 to 20 minutes with a mild sunburn-like sensation, and a course involves two or three sessions weekly for several weeks.

What Affects the Cost

  • This is inherently a multi-session therapy, often 12 to 30 treatments per course, so the per-session price multiplied by the protocol defines the real cost.
  • Cost sharing applies per session on most plans, so even modest copays accumulate across a full course.
  • Larger treatment areas bill under higher-tier codes (96921, 96922), so the extent of your psoriasis changes the code and price.
  • Maintenance sessions after clearance, if needed, extend the spending beyond the initial course.
  • Alternatives compete on cost: topical treatments are cheaper, while biologic drugs are far more expensive, positioning laser in the middle of psoriasis economics.

Questions to Ask Before Booking

  • 1.How many sessions does my treatment plan involve, and what is my cost per session?
  • 2.Has prior authorization been approved, and for how many sessions?
  • 3.What happens to coverage if I need maintenance treatments after clearing?
  • 4.Have we documented that topicals failed, since my insurer may require that first?
  • 5.How does the total course cost compare with my other treatment options?

Laser Treatment for Skin in Massachusetts: questions

The 2026 Medicare physician office rate for CPT 96920 averages $152.04 across 2 Massachusetts localities, from $143.91 in REST OF MASSACHUSETTS to $160.16 in METROPOLITAN BOSTON. The hospital physician rate averages $43.22. Enter a ZIP for the exact locality.

Yes. CMS splits Massachusetts into 2 payment localities. For this CPT the office physician fee spans $16.25 from the lowest to highest locality. Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $30 for the office physician line or $9 for the hospital physician line in Massachusetts. Medigap may cover that 20%. This is not the hospital facility fee.

No. $152.04 is only the physician's share. Adding Medicare's facility payment brings the total to about $246 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. Massachusetts ranks #45 of 51 states on the physician line (10% above the national office rate of $137.95).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.