Anesthesia for procedure on eyelid
Medicare pricing data for 19,661 providers across 52 states
This procedure has a 8.8x markup — hospitals charge $1,264 but Medicare allows only $143.43. Uninsured patients may face bills 8.8 times higher than what insurance negotiates. Prices vary significantly by location — from $94 in Alabama to $238 in Puerto Rico. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Anesthesia for procedure on eyelid (HCPCS code 00103) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $143.43, but hospitals typically charge $1,264 — a 8.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $143.43, your out-of-pocket cost would be approximately $28.69. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 8.8x more than what Medicare allows for this procedure. Medicare actually pays $112.23 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $238 | $362 | 16 | 81 | +65.9% |
| Alaska | $230 | $1,202 | 35 | 127 | +60.5% |
| Wyoming | $228 | $1,638 | 16 | 54 | +59.0% |
| Hawaii | $199 | $1,775 | 33 | 387 | +38.6% |
| Idaho | $181 | $923 | 73 | 468 | +26.3% |
| California | $179 | $1,323 | 1,583 | 9,432 | +24.7% |
| Washington | $175 | $979 | 363 | 2,193 | +21.9% |
| Arizona | $174 | $1,633 | 312 | 2,854 | +21.3% |
| Utah | $173 | $1,007 | 190 | 980 | +20.6% |
| Montana | $173 | $1,100 | 58 | 299 | +20.4% |
| Louisiana | $170 | $1,193 | 211 | 1,016 | +18.5% |
| Nebraska | $170 | $924 | 164 | 965 | +18.5% |
| Maine | $169 | $1,140 | 83 | 404 | +18.1% |
| Iowa | $168 | $918 | 189 | 1,074 | +17.3% |
| Oklahoma | $168 | $871 | 162 | 1,933 | +16.8% |
| Delaware | $165 | $1,287 | 48 | 542 | +15.1% |
| Maryland | $164 | $1,500 | 299 | 1,999 | +14.6% |
| New Jersey | $161 | $1,789 | 373 | 1,758 | +12.1% |
| Nevada | $160 | $1,147 | 101 | 800 | +11.6% |
| North Dakota | $154 | $930 | 84 | 440 | +7.3% |
| Arkansas | $153 | $772 | 141 | 1,154 | +6.7% |
| Florida | $150 | $1,294 | 1,286 | 9,400 | +4.6% |
| New York | $150 | $1,727 | 864 | 4,755 | +4.3% |
| Colorado | $147 | $1,308 | 260 | 1,731 | +2.8% |
| Oregon | $147 | $832 | 231 | 1,044 | +2.6% |
| Mississippi | $145 | $735 | 194 | 1,531 | +1.3% |
| South Dakota | $144 | $717 | 47 | 718 | +0.5% |
| Kansas | $144 | $783 | 256 | 1,586 | +0.3% |
| Rhode Island | $143 | $1,110 | 43 | 236 | +0.0% |
| District of Columbia | $143 | $1,454 | 70 | 156 | -0.4% |
| Missouri | $143 | $1,076 | 424 | 2,191 | -0.5% |
| Massachusetts | $142 | $1,381 | 453 | 2,216 | -1.3% |
| Indiana | $140 | $1,120 | 389 | 1,866 | -2.1% |
| Illinois | $140 | $1,352 | 809 | 2,863 | -2.6% |
| Tennessee | $140 | $1,182 | 537 | 3,526 | -2.7% |
| New Hampshire | $139 | $1,352 | 126 | 700 | -2.8% |
| New Mexico | $139 | $1,012 | 68 | 317 | -2.9% |
| Kentucky | $137 | $1,107 | 329 | 1,650 | -4.1% |
| Ohio | $137 | $867 | 740 | 4,028 | -4.5% |
| Texas | $133 | $1,697 | 1,582 | 7,686 | -6.9% |
| Virginia | $133 | $1,267 | 471 | 3,193 | -7.0% |
| Vermont | $132 | $902 | 30 | 109 | -7.8% |
| West Virginia | $128 | $1,064 | 146 | 518 | -10.5% |
| Michigan | $124 | $1,241 | 767 | 3,804 | -13.6% |
| South Carolina | $123 | $1,243 | 437 | 3,145 | -14.6% |
| Minnesota | $122 | $983 | 617 | 2,702 | -15.0% |
| Pennsylvania | $120 | $1,217 | 1,143 | 5,337 | -16.1% |
| Wisconsin | $118 | $1,754 | 622 | 1,988 | -17.4% |
| Georgia | $115 | $1,260 | 685 | 4,116 | -19.9% |
| North Carolina | $114 | $1,331 | 833 | 4,357 | -20.2% |
| Connecticut | $113 | $1,362 | 245 | 976 | -21.4% |
| Alabama | $94 | $906 | 368 | 2,170 | -34.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber