Anesthesia for other procedure on mouth
Medicare pricing data for 19,813 providers across 52 states
This procedure has a 9.9x markup — hospitals charge $1,468 but Medicare allows only $148.27. Uninsured patients may face bills 9.9 times higher than what insurance negotiates. Prices vary significantly by location — from $100 in South Carolina to $307 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 mouth (HCPCS code 00170) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $148.27, but hospitals typically charge $1,468 — a 9.9x 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 $148.27, your out-of-pocket cost would be approximately $29.65. 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 9.9x more than what Medicare allows for this procedure. Medicare actually pays $112.93 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $307 | $1,861 | 55 | 97 | +107.3% |
| Puerto Rico | $219 | $1,273 | 10 | 13 | +48.0% |
| Hawaii | $216 | $1,591 | 24 | 45 | +45.5% |
| California | $204 | $1,690 | 1,257 | 2,338 | +37.5% |
| Delaware | $198 | $1,693 | 84 | 213 | +33.8% |
| Washington | $195 | $1,473 | 355 | 505 | +31.4% |
| Montana | $194 | $1,183 | 55 | 81 | +30.6% |
| New Mexico | $192 | $1,579 | 64 | 102 | +29.2% |
| New York | $191 | $2,339 | 1,074 | 2,060 | +29.0% |
| Nevada | $190 | $1,694 | 95 | 188 | +28.1% |
| Idaho | $190 | $1,146 | 76 | 121 | +28.0% |
| Nebraska | $180 | $1,069 | 227 | 488 | +21.1% |
| Arizona | $179 | $1,835 | 266 | 475 | +20.8% |
| Oregon | $178 | $1,042 | 195 | 334 | +19.8% |
| Utah | $175 | $836 | 118 | 264 | +18.0% |
| New Jersey | $174 | $1,825 | 425 | 936 | +17.2% |
| District of Columbia | $170 | $1,251 | 95 | 132 | +14.8% |
| Maryland | $170 | $1,554 | 263 | 420 | +14.8% |
| Iowa | $169 | $1,181 | 220 | 475 | +13.9% |
| Arkansas | $168 | $1,125 | 131 | 249 | +13.6% |
| Illinois | $163 | $1,804 | 703 | 1,106 | +10.2% |
| Connecticut | $162 | $1,913 | 274 | 644 | +9.4% |
| Kentucky | $162 | $1,307 | 305 | 578 | +9.4% |
| Wyoming | $162 | $1,193 | 34 | 67 | +9.3% |
| Colorado | $157 | $1,487 | 356 | 596 | +6.2% |
| Massachusetts | $156 | $1,237 | 583 | 1,056 | +5.3% |
| Oklahoma | $156 | $1,198 | 268 | 638 | +4.9% |
| Louisiana | $152 | $1,050 | 290 | 499 | +2.7% |
| Vermont | $150 | $998 | 49 | 91 | +1.4% |
| Kansas | $148 | $1,025 | 305 | 775 | -0.3% |
| Indiana | $147 | $1,487 | 449 | 926 | -0.6% |
| Florida | $147 | $1,589 | 1,314 | 2,352 | -1.1% |
| Minnesota | $140 | $1,400 | 639 | 1,269 | -5.5% |
| Rhode Island | $139 | $1,081 | 57 | 89 | -6.6% |
| Wisconsin | $136 | $2,153 | 476 | 786 | -8.1% |
| Texas | $135 | $1,565 | 1,417 | 2,520 | -8.7% |
| Missouri | $128 | $1,052 | 598 | 1,237 | -13.5% |
| Ohio | $128 | $1,127 | 751 | 1,159 | -13.8% |
| New Hampshire | $125 | $1,935 | 156 | 308 | -15.7% |
| Michigan | $125 | $1,523 | 604 | 922 | -15.8% |
| Tennessee | $124 | $1,427 | 457 | 725 | -16.2% |
| Pennsylvania | $122 | $1,215 | 1,282 | 2,505 | -17.9% |
| Virginia | $116 | $1,451 | 465 | 785 | -21.6% |
| North Dakota | $116 | $947 | 143 | 313 | -21.9% |
| North Carolina | $114 | $1,388 | 705 | 1,082 | -22.8% |
| Mississippi | $114 | $781 | 228 | 485 | -23.2% |
| Maine | $113 | $1,278 | 153 | 239 | -23.7% |
| Georgia | $109 | $1,376 | 514 | 886 | -26.4% |
| West Virginia | $105 | $958 | 118 | 179 | -29.3% |
| Alabama | $104 | $1,138 | 325 | 506 | -30.1% |
| South Dakota | $102 | $1,163 | 187 | 442 | -31.2% |
| South Carolina | $100 | $1,267 | 446 | 892 | -32.7% |
⚠️ 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