Anesthesia for other procedure on nose and sinuses
Medicare pricing data for 28,494 providers across 52 states
This procedure has a 10.1x markup — hospitals charge $1,669 but Medicare allows only $165.91. Uninsured patients may face bills 10.1 times higher than what insurance negotiates. Prices vary significantly by location — from $111 in Alabama to $296 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 nose and sinuses (HCPCS code 00160) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $165.91, but hospitals typically charge $1,669 — a 10.1x 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 $165.91, your out-of-pocket cost would be approximately $33.18. 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 10.1x more than what Medicare allows for this procedure. Medicare actually pays $130.41 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $296 | $1,811 | 61 | 122 | +78.4% |
| Puerto Rico | $282 | $1,426 | 19 | 31 | +70.2% |
| California | $236 | $1,800 | 1,863 | 4,042 | +42.0% |
| Montana | $225 | $1,328 | 103 | 259 | +35.7% |
| Nevada | $212 | $2,069 | 128 | 308 | +27.9% |
| Hawaii | $211 | $1,382 | 70 | 135 | +27.2% |
| Oregon | $211 | $1,336 | 304 | 625 | +27.1% |
| Utah | $210 | $1,200 | 277 | 584 | +26.9% |
| Idaho | $210 | $1,304 | 134 | 266 | +26.4% |
| Washington | $207 | $1,491 | 646 | 1,387 | +24.9% |
| Wyoming | $202 | $1,298 | 44 | 118 | +22.0% |
| Nebraska | $202 | $1,274 | 266 | 581 | +21.5% |
| New York | $201 | $2,491 | 1,268 | 2,228 | +21.4% |
| New Mexico | $200 | $1,850 | 148 | 236 | +20.7% |
| Iowa | $199 | $1,284 | 287 | 584 | +19.7% |
| Arizona | $195 | $2,023 | 503 | 1,550 | +17.8% |
| Maryland | $194 | $1,804 | 396 | 896 | +16.9% |
| Oklahoma | $189 | $1,562 | 339 | 800 | +13.7% |
| Colorado | $186 | $1,744 | 538 | 1,068 | +11.9% |
| Illinois | $184 | $2,026 | 1,089 | 2,053 | +11.2% |
| Louisiana | $182 | $1,476 | 470 | 982 | +10.0% |
| New Jersey | $181 | $1,963 | 553 | 1,047 | +9.1% |
| Arkansas | $178 | $1,130 | 232 | 588 | +7.5% |
| Delaware | $175 | $1,518 | 108 | 260 | +5.7% |
| District of Columbia | $174 | $1,637 | 88 | 162 | +4.7% |
| Indiana | $170 | $1,392 | 601 | 1,433 | +2.7% |
| Massachusetts | $170 | $1,452 | 766 | 1,636 | +2.3% |
| Florida | $167 | $1,847 | 1,862 | 4,321 | +0.4% |
| Kentucky | $166 | $1,398 | 395 | 797 | -0.2% |
| Vermont | $157 | $1,024 | 46 | 70 | -5.7% |
| Texas | $154 | $2,061 | 2,251 | 5,867 | -6.9% |
| Tennessee | $153 | $1,578 | 824 | 2,102 | -7.6% |
| Virginia | $149 | $1,788 | 684 | 1,518 | -9.9% |
| Missouri | $148 | $1,374 | 766 | 1,585 | -10.5% |
| Ohio | $148 | $1,258 | 1,349 | 2,642 | -10.8% |
| Mississippi | $148 | $962 | 256 | 825 | -10.9% |
| Connecticut | $148 | $1,910 | 303 | 585 | -11.1% |
| Maine | $145 | $1,542 | 170 | 273 | -12.5% |
| Pennsylvania | $145 | $1,446 | 1,561 | 3,256 | -12.8% |
| Kansas | $145 | $1,571 | 401 | 1,466 | -12.8% |
| North Dakota | $144 | $1,191 | 132 | 223 | -13.1% |
| New Hampshire | $142 | $2,131 | 142 | 282 | -14.4% |
| Michigan | $142 | $1,880 | 1,088 | 2,008 | -14.5% |
| Wisconsin | $142 | $2,185 | 694 | 1,186 | -14.7% |
| Minnesota | $141 | $1,377 | 639 | 1,317 | -15.0% |
| West Virginia | $140 | $1,195 | 180 | 349 | -15.4% |
| Georgia | $138 | $1,601 | 989 | 2,352 | -16.8% |
| North Carolina | $130 | $1,631 | 1,053 | 2,483 | -21.3% |
| South Carolina | $129 | $1,559 | 571 | 1,887 | -22.2% |
| South Dakota | $126 | $1,096 | 166 | 320 | -24.1% |
| Rhode Island | $112 | $837 | 49 | 118 | -32.3% |
| Alabama | $111 | $1,046 | 587 | 1,810 | -33.4% |
⚠️ 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