00300

Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back

Medicare pricing data for 64,287 providers across 52 states

🤖AI Overview

This procedure has a 10.3x markup — hospitals charge $1,645 but Medicare allows only $159.21. Uninsured patients may face bills 10.3 times higher than what insurance negotiates. Prices vary significantly by location — from $116 in Alabama to $284 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 skin, muscles, or nerves of head, neck, and upper back (HCPCS code 00300) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $159.21, but hospitals typically charge $1,645 — a 10.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$31.84

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $159.21, your out-of-pocket cost would be approximately $31.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$159.21
Average Hospital Charge
$1,645
Markup Ratio
10.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,645.49
Medicare Allowed$159.21
Medicare Payment$125.11

Hospitals charge 10.3x more than what Medicare allows for this procedure. Medicare actually pays $125.11 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$284$1,66399289+78.6%
Puerto Rico$219$1,40970177+37.3%
California$218$1,8333,83211,625+36.9%
Montana$216$1,297166453+35.9%
Utah$213$1,4254481,149+33.8%
Idaho$202$1,306225605+27.0%
Washington$196$1,4561,2313,451+23.4%
Iowa$196$1,3535141,632+23.4%
Wyoming$195$1,42463217+22.3%
Oregon$193$1,4275741,748+21.3%
Nevada$190$1,8263201,058+19.5%
Arizona$185$2,3921,1744,244+16.3%
Maryland$185$1,7171,0363,270+16.0%
New Mexico$185$1,684292728+16.0%
Nebraska$184$1,1334861,737+15.9%
Hawaii$182$2,124110341+14.5%
New York$179$2,2563,2889,111+12.6%
Oklahoma$179$1,4687253,099+12.3%
Arkansas$176$1,0895692,430+10.7%
Colorado$176$1,7469622,680+10.4%
Delaware$175$1,858216892+10.0%
New Jersey$171$1,9041,4114,218+7.7%
District of Columbia$169$1,502267791+6.3%
Indiana$168$1,4061,2163,990+5.6%
Kentucky$166$1,5211,1213,885+4.5%
Illinois$166$1,9222,3627,514+4.4%
Florida$165$1,8614,76216,442+3.9%
Louisiana$165$1,2261,1093,574+3.6%
Massachusetts$164$1,4191,6845,329+2.9%
Texas$159$2,0765,09617,472-0.4%
Missouri$155$1,2981,5975,339-2.9%
New Hampshire$154$2,1353441,003-3.0%
Vermont$153$1,05889231-3.9%
Connecticut$152$1,7317801,925-4.7%
Kansas$151$1,0508233,336-5.0%
Tennessee$150$1,5352,0217,200-5.9%
Rhode Island$145$1,210169510-8.7%
Ohio$144$1,2772,9639,037-9.6%
Wisconsin$142$2,1071,2623,433-11.1%
North Dakota$140$1,230238607-11.8%
Virginia$140$1,6171,6936,157-12.0%
Minnesota$139$1,3131,5354,009-12.5%
Georgia$138$1,5792,3007,524-13.3%
Michigan$135$1,8252,5207,597-15.0%
Pennsylvania$134$1,3793,60810,775-16.1%
West Virginia$133$1,4224951,786-16.2%
Mississippi$133$8786163,611-16.3%
Maine$131$1,474377977-17.5%
North Carolina$128$1,6342,3517,060-19.6%
South Carolina$126$1,6401,3825,249-20.8%
South Dakota$118$1,4243181,498-25.8%
Alabama$116$1,0951,3305,989-27.2%

⚠️ 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