Anesthesia for retinal surgery
Medicare pricing data for 20,121 providers across 52 states
This procedure has a 9.5x markup — hospitals charge $1,502 but Medicare allows only $158.71. Uninsured patients may face bills 9.5 times higher than what insurance negotiates. Prices vary significantly by location — from $118 in Alabama to $283 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 retinal surgery (HCPCS code 00145) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $158.71, but hospitals typically charge $1,502 — a 9.5x 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 $158.71, your out-of-pocket cost would be approximately $31.74. 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 9.5x more than what Medicare allows for this procedure. Medicare actually pays $124.87 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $283 | $1,324 | 12 | 37 | +78.5% |
| Puerto Rico | $274 | $444 | 18 | 65 | +72.7% |
| Wyoming | $225 | $1,320 | 19 | 47 | +41.8% |
| California | $207 | $1,545 | 1,798 | 8,818 | +30.3% |
| Iowa | $205 | $1,164 | 204 | 1,194 | +29.1% |
| Hawaii | $202 | $1,312 | 48 | 235 | +27.0% |
| Nevada | $200 | $1,685 | 141 | 790 | +26.3% |
| Washington | $200 | $1,239 | 387 | 2,175 | +26.3% |
| Oregon | $200 | $1,114 | 222 | 1,338 | +26.0% |
| Montana | $197 | $971 | 60 | 394 | +23.9% |
| Delaware | $196 | $1,499 | 71 | 322 | +23.7% |
| Maine | $189 | $1,426 | 54 | 310 | +19.2% |
| Maryland | $187 | $1,637 | 374 | 2,340 | +18.1% |
| New Jersey | $184 | $2,276 | 416 | 2,721 | +15.9% |
| Utah | $180 | $1,027 | 178 | 1,168 | +13.7% |
| Arkansas | $179 | $1,096 | 145 | 926 | +12.7% |
| Idaho | $178 | $1,070 | 79 | 514 | +12.1% |
| Vermont | $177 | $1,034 | 56 | 203 | +11.8% |
| Oklahoma | $177 | $1,137 | 174 | 1,557 | +11.5% |
| New York | $176 | $2,249 | 1,007 | 5,859 | +11.2% |
| Arizona | $176 | $1,993 | 214 | 3,052 | +10.9% |
| Louisiana | $175 | $1,223 | 327 | 1,450 | +10.0% |
| Kentucky | $174 | $1,217 | 268 | 1,385 | +9.8% |
| New Mexico | $174 | $1,482 | 55 | 333 | +9.4% |
| New Hampshire | $171 | $2,073 | 101 | 358 | +7.9% |
| Indiana | $169 | $1,420 | 358 | 2,533 | +6.3% |
| South Dakota | $166 | $685 | 58 | 712 | +4.6% |
| Illinois | $165 | $1,704 | 1,015 | 3,989 | +3.8% |
| Nebraska | $164 | $998 | 155 | 979 | +3.5% |
| Florida | $164 | $1,702 | 1,317 | 8,146 | +3.5% |
| Kansas | $160 | $932 | 276 | 1,756 | +0.8% |
| District of Columbia | $159 | $1,512 | 72 | 434 | -0.1% |
| Missouri | $156 | $1,125 | 488 | 2,746 | -1.6% |
| Connecticut | $156 | $1,669 | 263 | 1,046 | -1.8% |
| Colorado | $156 | $1,527 | 312 | 2,070 | -2.0% |
| Massachusetts | $151 | $1,183 | 455 | 3,378 | -4.7% |
| Tennessee | $148 | $1,323 | 546 | 3,773 | -6.7% |
| Texas | $144 | $1,852 | 1,581 | 10,340 | -9.0% |
| Ohio | $144 | $1,013 | 690 | 4,563 | -9.3% |
| Michigan | $140 | $1,905 | 814 | 3,612 | -11.8% |
| Virginia | $140 | $1,367 | 530 | 3,479 | -12.1% |
| Mississippi | $137 | $946 | 181 | 1,198 | -13.8% |
| Wisconsin | $136 | $2,082 | 539 | 2,275 | -14.6% |
| West Virginia | $131 | $822 | 105 | 820 | -17.5% |
| South Carolina | $130 | $1,363 | 413 | 3,008 | -17.9% |
| Minnesota | $130 | $1,070 | 503 | 2,888 | -18.2% |
| Pennsylvania | $129 | $1,251 | 1,028 | 6,599 | -18.7% |
| North Carolina | $128 | $1,628 | 878 | 4,444 | -19.4% |
| Georgia | $128 | $1,277 | 592 | 2,970 | -19.5% |
| Rhode Island | $127 | $788 | 65 | 312 | -20.0% |
| North Dakota | $124 | $1,060 | 93 | 520 | -22.0% |
| Alabama | $118 | $1,246 | 305 | 2,661 | -25.7% |
⚠️ 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
🏥 See Medicare hospital data on OpenMedicare