00210

Anesthesia for other procedure on brain

Medicare pricing data for 17,130 providers across 52 states

🤖AI Overview

This procedure has a 9.6x markup — hospitals charge $3,928 but Medicare allows only $411.01. Uninsured patients may face bills 9.6 times higher than what insurance negotiates. Prices vary significantly by location — from $277 in South Dakota to $669 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 brain (HCPCS code 00210) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $411.01, but hospitals typically charge $3,928 — a 9.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$82.20

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $411.01, your out-of-pocket cost would be approximately $82.20. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$411.01
Average Hospital Charge
$3,928
Markup Ratio
9.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,928.29
Medicare Allowed$411.01
Medicare Payment$326.79

Hospitals charge 9.6x more than what Medicare allows for this procedure. Medicare actually pays $326.79 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$669$4,0302033+62.9%
California$559$4,2561,2672,704+36.0%
Oregon$535$3,248187344+30.1%
Utah$531$3,483103169+29.3%
Puerto Rico$527$4,667811+28.2%
Massachusetts$521$3,8134291,048+26.8%
Montana$512$2,6925786+24.7%
Nebraska$509$3,103150287+23.9%
New York$509$5,6149082,033+23.9%
Idaho$504$3,67864121+22.6%
Maryland$488$4,305300667+18.7%
Iowa$488$3,183145295+18.7%
Delaware$482$3,7635374+17.3%
Wyoming$475$3,3271322+15.5%
Arizona$467$5,299319783+13.6%
Illinois$461$5,1956871,247+12.2%
Connecticut$461$4,816160291+12.1%
Nevada$459$4,795102140+11.6%
Washington$453$3,460371801+10.3%
Arkansas$436$2,701125276+6.1%
Rhode Island$434$3,3294675+5.7%
Vermont$431$2,5433785+4.7%
District of Columbia$429$3,314110293+4.3%
New Jersey$425$4,711371634+3.3%
Indiana$414$3,445309534+0.7%
New Mexico$405$3,48678120-1.4%
Hawaii$402$2,7762336-2.2%
Kentucky$390$3,978242437-5.0%
Oklahoma$388$3,477193423-5.7%
Colorado$386$3,881296569-6.2%
Texas$383$4,1911,2442,477-6.8%
Pennsylvania$380$3,2179702,146-7.6%
Ohio$378$3,0956961,488-8.0%
Tennessee$378$3,885432835-8.0%
Florida$376$3,9541,3382,873-8.4%
Missouri$375$2,921443861-8.7%
Wisconsin$370$5,378301622-9.9%
North Dakota$369$3,1356285-10.2%
Virginia$369$4,4405501,062-10.3%
Michigan$369$4,3826661,022-10.3%
New Hampshire$365$5,94687157-11.3%
Louisiana$359$2,342264508-12.7%
Minnesota$331$3,196448889-19.4%
Kansas$328$1,834188509-20.2%
North Carolina$326$3,5155931,327-20.7%
Georgia$318$3,5545591,018-22.7%
Alabama$303$3,321301631-26.3%
West Virginia$296$3,03398181-27.9%
Mississippi$288$2,126131261-30.0%
South Carolina$287$3,873377799-30.1%
Maine$282$3,02379107-31.4%
South Dakota$277$3,73993137-32.6%

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

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