00220

Anesthesia for procedure to drain brain and spinal cord fluid

Medicare pricing data for 7,204 providers across 48 states

🤖AI Overview

This procedure has a 9.9x markup — hospitals charge $2,787 but Medicare allows only $280.08. Uninsured patients may face bills 9.9 times higher than what insurance negotiates. Prices vary significantly by location — from $189 in South Dakota to $409 in Utah. 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 procedure to drain brain and spinal cord fluid (HCPCS code 00220) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $280.08, but hospitals typically charge $2,787 — a 9.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$56.02

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $280.08, your out-of-pocket cost would be approximately $56.02. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$280.08
Average Hospital Charge
$2,787
Markup Ratio
9.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,786.59
Medicare Allowed$280.08
Medicare Payment$222.25

Hospitals charge 9.9x more than what Medicare allows for this procedure. Medicare actually pays $222.25 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Utah$409$2,6742832+45.9%
California$372$2,741566819+32.7%
Idaho$369$2,6682732+31.7%
New York$354$3,980434692+26.4%
Oregon$354$2,1726474+26.2%
Delaware$352$2,9413542+25.8%
Montana$348$1,8832832+24.4%
Arizona$348$3,725111184+24.1%
Massachusetts$333$2,487201338+18.9%
Nevada$329$3,7203744+17.6%
Iowa$328$2,0695167+17.2%
Arkansas$316$1,8764986+12.9%
Washington$316$2,488136195+12.9%
Rhode Island$316$2,2323148+12.8%
Nebraska$310$2,1446593+10.8%
New Jersey$305$3,553182225+8.8%
Vermont$304$1,9151422+8.4%
Illinois$301$3,437267337+7.5%
District of Columbia$287$2,2044358+2.4%
Oklahoma$286$1,89380115+2.0%
Indiana$286$2,39796123+1.9%
New Hampshire$283$4,2333243+0.9%
Kentucky$279$2,66596114-0.3%
Florida$278$3,062546799-0.7%
North Dakota$278$1,8291820-0.7%
New Mexico$278$2,2812631-0.8%
Maryland$278$3,243134246-0.9%
Connecticut$268$2,757106155-4.3%
Texas$268$3,307574756-4.4%
Ohio$260$2,176309431-7.2%
Pennsylvania$259$2,206356540-7.4%
Colorado$258$2,7767792-7.9%
Wisconsin$255$3,831135181-9.0%
Louisiana$255$1,957127164-9.0%
Missouri$251$2,062189271-10.5%
Tennessee$244$2,819192267-13.0%
Michigan$236$3,515244282-15.7%
Virginia$230$3,151209292-17.7%
Mississippi$228$1,48479123-18.8%
Kansas$221$1,40376105-21.0%
West Virginia$220$2,6194253-21.4%
Maine$213$2,9812022-23.9%
Alabama$210$2,299125161-25.0%
North Carolina$206$2,401222350-26.4%
Georgia$206$2,299266343-26.6%
Minnesota$204$1,917250336-27.0%
South Carolina$199$2,630153192-29.0%
South Dakota$189$1,4522836-32.4%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber