00320

Anesthesia for other procedure on neck area (1 year or older)

Medicare pricing data for 46,772 providers across 52 states

🤖AI Overview

This procedure has a 10.0x markup — hospitals charge $1,915 but Medicare allows only $191.29. Uninsured patients may face bills 10.0 times higher than what insurance negotiates. Prices vary significantly by location — from $138 in Alabama to $356 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 neck area (1 year or older) (HCPCS code 00320) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $191.29, but hospitals typically charge $1,915 — a 10.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$38.26

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $191.29, your out-of-pocket cost would be approximately $38.26. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$191.29
Average Hospital Charge
$1,915
Markup Ratio
10.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,915.47
Medicare Allowed$191.29
Medicare Payment$150.95

Hospitals charge 10.0x more than what Medicare allows for this procedure. Medicare actually pays $150.95 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$356$2,12376126+85.9%
Montana$283$1,566141344+47.7%
California$265$2,1992,9218,242+38.6%
Puerto Rico$258$1,43353107+34.8%
Idaho$252$1,678171357+31.6%
Nevada$245$2,509218458+28.3%
Washington$241$1,8078702,032+26.1%
Iowa$239$1,621347917+25.1%
Oregon$237$1,4893891,062+24.1%
Utah$237$1,6043551,106+23.8%
New Mexico$236$1,963185431+23.4%
Wyoming$235$1,56952111+22.8%
New York$234$2,7042,5396,817+22.6%
Arkansas$224$1,4273531,033+17.2%
Hawaii$221$1,58890222+15.3%
Maryland$218$1,9638032,473+13.9%
Arizona$217$2,6327402,349+13.6%
District of Columbia$215$1,608237750+12.5%
Illinois$211$2,4021,7124,336+10.3%
Massachusetts$210$1,6431,3474,203+9.7%
Colorado$209$2,0166951,637+9.1%
New Jersey$206$2,1571,0422,535+7.8%
Delaware$200$1,874168399+4.3%
Connecticut$199$2,2895271,321+4.2%
Oklahoma$197$1,8954891,537+3.2%
Florida$195$2,1373,3409,942+2.1%
Indiana$194$1,6279342,592+1.4%
Nebraska$189$1,1383921,337-1.1%
Texas$189$2,1973,3169,517-1.1%
Vermont$187$1,29087180-2.2%
Louisiana$185$1,4647832,413-3.5%
Missouri$180$1,4471,2103,416-5.7%
New Hampshire$180$3,139264740-5.9%
Kentucky$179$1,9457622,185-6.4%
Virginia$177$1,9761,2033,621-7.6%
Wisconsin$175$2,7049572,634-8.3%
Michigan$173$2,2681,8514,535-9.4%
Pennsylvania$173$1,6162,7057,491-9.5%
North Dakota$172$1,388189416-10.0%
Ohio$169$1,4072,3046,585-11.7%
Rhode Island$167$1,317121328-12.7%
Kansas$165$1,2285812,298-13.5%
West Virginia$163$1,520317760-14.7%
Minnesota$162$1,5551,0392,634-15.4%
Maine$159$1,682282638-16.9%
Mississippi$154$1,1274732,272-19.6%
South Carolina$153$1,9481,0263,689-19.8%
Tennessee$153$1,6561,4415,435-19.9%
South Dakota$152$1,986246777-20.3%
Georgia$151$1,5901,6474,291-21.0%
North Carolina$150$1,8331,7725,284-21.4%
Alabama$138$1,5929232,652-28.1%

⚠️ 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