CPT17000

Destruction of Skin Lesion Cost in South Carolina

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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South Carolina Medicare physician rate (2026)

-5.6% vs national

Single statewide locality.

South Carolina (Hospital)
$45.48
Facility physician fee
Private plan est.
$82–$126
~130–200% of Medicare
Cash / self-pay est.
$50–$94
~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 South Carolina

Check your ZIP code for your region of South Carolina, whether Charleston and the Lowcountry, Columbia and the Midlands, Greenville-Spartanburg in the Upstate, or Myrtle Beach and the Grand Strand.

What destruction of skin lesion costs at hospitals near you

Everything above is a national average. The hospital you pick in South Carolina 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 South Carolina the office and hospital physician lines for this CPT differ by $17.29.

National vs South Carolina

National office$66.47
National hospital (physician)$47.76
South Carolina vs national6% below the national office rate of $66.47

Where South Carolina ranks for this CPT

Rank (lowest physician fee first)#17 of 51
Lowest stateArkansas ($59.19)
Highest stateAlaska ($78.33)

Destruction of Skin Lesion and how South Carolina is priced

South Carolina prices through one statewide locality with indices a bit below the national average, so Charleston, Columbia, Greenville, and the rural Pee Dee share the same Medicare-approved amounts. Rapid coastal growth has not led CMS to break out a separate locality, keeping the fee schedule uniform from the mountains to the sea islands. The single set of adjustments makes the statewide figures here directly usable anywhere in the state. Facility fees at hospital-owned locations remain the largest source of price variation for patients.

The state's medical firepower splits three ways: an academic medical center and strong hospital market in Charleston, the capital-region systems in Columbia, and a large Upstate network centered on Greenville. Retiree-heavy coastal areas like Hilton Head and Myrtle Beach have booming demand for Medicare-age care, while the rural I-95 corridor faces some of the state's worst access gaps. Some border residents use Charlotte or Augusta providers.

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 South Carolina: questions

South Carolina is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 17000 is $62.77 in an office and $45.48 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. South Carolina uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

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 South Carolina. Medigap may cover that 20%. This is not the hospital facility fee.

No. $62.77 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. South Carolina ranks #17 of 51 states on the physician line (6% 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.