CPT17000

Destruction of Skin Lesion Cost in Michigan

Destruct premalg lesion

$253Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Michigan Medicare physician rate (2026)

-2.9% vs national

Average of 2 localities. Office range $62.83–$66.28.

Michigan (Hospital)
$47.00
Facility physician fee
Private plan est.
$84–$129
~130–200% of Medicare
Cash / self-pay est.
$52–$97
~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
$48
Only 19% 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 Michigan

Enter your ZIP code to see whether Detroit-area or rest-of-state rates apply, from Detroit, Ann Arbor, and Flint to Grand Rapids, Lansing, Traverse City, and the Upper Peninsula.

What destruction of skin lesion costs at hospitals near you

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

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

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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 Michigan the office and hospital physician lines for this CPT differ by $17.56.

National vs Michigan

National office$66.47
National hospital (physician)$47.76
Michigan vs national3% below the national office rate of $66.47

Where Michigan ranks for this CPT

Rank (lowest physician fee first)#22 of 51
Lowest stateArkansas ($59.19)
Highest stateAlaska ($78.33)

CPT 17000 by Michigan locality

LocalityOffice
detroit$66.28
rest of michigan$62.83

PE GPCI ranges from 0.913 to 0.965 in Michigan. That index is why the same CPT is not one price statewide.

Destruction of Skin Lesion and how Michigan is priced

Michigan divides into a Detroit metro locality and a rest-of-state locality, so the fee schedule prices southeast Michigan above Grand Rapids, Lansing, and the northern reaches. Detroit's locality reflects the metro's higher wage and cost structure, while everywhere else in the Lower and Upper Peninsulas shares one set of lower adjustments. The result is a simple two-tier state where the main question is whether your care happens inside the Detroit area or out. Upper Peninsula residents, despite their remoteness, price the same as Grand Rapids under the rest-of-state locality.

Southeast Michigan concentrates the state's academic medicine and largest hospital systems, with Ann Arbor's university medical center serving as a top national referral destination. West Michigan has built a strong hospital hub in Grand Rapids, while the Upper Peninsula's small population depends on a few regional hospitals and sometimes crosses into Wisconsin for care. Auto-industry benefit legacies still shape how many Michiganders experience health coverage.

This procedure: This is the destruction, most often by liquid nitrogen freezing, of a single precancerous skin lesion such as an actinic keratosis, the rough scaly patch caused by years of sun exposure. The dermatologist sprays or dabs the lesion for a few seconds; it stings briefly, blisters or crusts over a few days, and then peels away. No anesthesia or downtime is needed, and the whole treatment adds only moments to a skin exam.

What Is Destruction of Skin Lesion?

This is the destruction, most often by liquid nitrogen freezing, of a single precancerous skin lesion such as an actinic keratosis, the rough scaly patch caused by years of sun exposure. The dermatologist sprays or dabs the lesion for a few seconds; it stings briefly, blisters or crusts over a few days, and then peels away. No anesthesia or downtime is needed, and the whole treatment adds only moments to a skin exam.

What Affects the Cost

  • The code covers only the first lesion; every additional lesion frozen at the same visit is billed under add-on code 17003, and 15 or more lesions switch to code 17004.
  • Many patients need re-treatment at future visits because actinic keratoses recur, so annual cost is a multiple of one session.
  • An office visit charge is often billed alongside the freezing when the clinician also performs a skin exam or addresses other concerns.
  • Alternative treatments for widespread lesions, such as prescription field creams or photodynamic therapy, carry very different price tags worth comparing.
  • Freezing a benign spot like a plain seborrheic keratosis for appearance reasons is usually coded differently and may not be covered at all.

Questions to Ask Before Booking

  • 1.How many lesions will you treat today, and what is the charge for each additional one?
  • 2.Are any of the spots you plan to freeze considered cosmetic rather than precancerous?
  • 3.Will today also be billed as an office visit on top of the freezing?
  • 4.If I have many lesions, would a prescription cream or field treatment be more cost-effective than repeated freezing?
  • 5.How often should I expect to come back for re-treatment, and what does a typical year of visits cost?

Destruction of Skin Lesion in Michigan: questions

The 2026 Medicare physician office rate for CPT 17000 averages $64.56 across 2 Michigan localities, from $62.83 in REST OF MICHIGAN to $66.28 in DETROIT. The hospital physician rate averages $47.00. Enter a ZIP for the exact locality.

Yes. CMS splits Michigan into 2 payment localities. For this CPT the office physician fee spans $3.45 from the lowest to highest locality. Enter your ZIP code to see whether Detroit-area or rest-of-state rates apply, from Detroit, Ann Arbor, and Flint to Grand Rapids, Lansing, Traverse City, and the Upper Peninsula.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $13 for the office physician line or $9 for the hospital physician line in Michigan. Medigap may cover that 20%. This is not the hospital facility fee.

No. $64.56 is only the physician's share. Adding Medicare's facility payment brings the total to about $253 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. Michigan ranks #22 of 51 states on the physician line (3% below the national office rate of $66.47).

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.