00120

Anesthesia for other procedure on external middle and inner ear

Medicare pricing data for 11,679 providers across 51 states

🤖AI Overview

This procedure has a 10.1x markup — hospitals charge $1,940 but Medicare allows only $192.84. Uninsured patients may face bills 10.1 times higher than what insurance negotiates. Prices vary significantly by location — from $135 in Alabama to $317 in Alaska. 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 other procedure on external middle and inner ear (HCPCS code 00120) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $192.84, but hospitals typically charge $1,940 — a 10.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$38.57

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $192.84, your out-of-pocket cost would be approximately $38.57. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$192.84
Average Hospital Charge
$1,940
Markup Ratio
10.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,940.10
Medicare Allowed$192.84
Medicare Payment$151.53

Hospitals charge 10.1x more than what Medicare allows for this procedure. Medicare actually pays $151.53 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$317$1,8563354+64.2%
California$278$2,1528041,489+43.9%
Hawaii$277$2,2612745+43.8%
Montana$268$1,4796396+39.0%
Utah$260$1,51096157+34.7%
New Mexico$252$2,3093664+30.6%
North Dakota$240$1,6685882+24.6%
Oregon$238$1,417159267+23.4%
Washington$237$1,745271443+23.1%
Vermont$236$1,3641521+22.6%
Iowa$229$1,445134244+18.9%
New York$228$2,631497816+18.0%
Kentucky$224$2,161173275+16.1%
Oklahoma$221$1,552146287+14.9%
Idaho$221$1,58068106+14.7%
Nevada$218$2,0102646+13.2%
Delaware$217$2,2495078+12.5%
Arkansas$216$1,392134267+11.8%
Massachusetts$213$1,724329699+10.6%
District of Columbia$213$1,69172114+10.5%
Maryland$210$2,034155321+9.0%
New Jersey$208$2,707177256+7.8%
Arizona$199$2,175285586+3.3%
Missouri$198$1,634317647+2.7%
Louisiana$197$1,528167236+2.1%
Connecticut$193$2,500143202+0.0%
Colorado$192$1,981230396-0.3%
New Hampshire$192$3,86985168-0.4%
Texas$189$2,3927851,353-1.7%
Indiana$189$1,511262410-1.9%
Illinois$182$2,124426702-5.6%
Mississippi$180$1,01386208-6.7%
Florida$179$1,9917481,538-7.2%
Pennsylvania$178$1,711559872-7.5%
Ohio$176$1,494567905-8.7%
Nebraska$175$1,050116260-9.2%
Virginia$173$2,073302517-10.3%
Wisconsin$171$2,795262381-11.1%
Wyoming$171$1,521816-11.5%
West Virginia$169$1,89270110-12.3%
North Carolina$168$1,939434719-12.9%
Michigan$167$2,476437878-13.5%
Georgia$162$1,819307531-15.9%
Maine$161$1,80472106-16.6%
Minnesota$161$1,524303498-16.7%
Tennessee$153$1,402322890-20.5%
Rhode Island$152$9683878-21.0%
South Carolina$148$2,048281602-23.1%
Kansas$147$2,545166447-24.0%
South Dakota$143$1,71475146-25.6%
Alabama$135$1,173244581-30.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber