00532

Anesthesia for access to central vein

Medicare pricing data for 33,526 providers across 52 states

🤖AI Overview

This procedure has a 10.5x markup — hospitals charge $1,280 but Medicare allows only $121.71. Uninsured patients may face bills 10.5 times higher than what insurance negotiates. Prices vary significantly by location — from $88 in South Carolina to $204 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 access to central vein (HCPCS code 00532) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $121.71, but hospitals typically charge $1,280 — a 10.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.34

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $121.71, your out-of-pocket cost would be approximately $24.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$121.71
Average Hospital Charge
$1,280
Markup Ratio
10.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,279.93
Medicare Allowed$121.71
Medicare Payment$96.14

Hospitals charge 10.5x more than what Medicare allows for this procedure. Medicare actually pays $96.14 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$204$1,50384189+67.6%
Puerto Rico$179$92654178+47.2%
California$171$1,3851,7313,955+40.9%
Utah$161$1,063194304+32.5%
Montana$160$1,11984163+31.8%
Idaho$154$1,00676120+26.3%
Nevada$151$1,389118260+24.0%
Oregon$151$1,043308700+23.8%
New Mexico$151$1,199102212+23.8%
Wyoming$150$1,28654148+23.2%
Arkansas$145$861358999+19.2%
Washington$142$1,0825401,129+16.5%
Arizona$141$1,5905661,265+15.7%
Iowa$140$974291720+15.3%
Oklahoma$139$1,2684001,040+14.4%
Maryland$139$1,4115391,453+14.3%
Hawaii$139$1,02369148+14.1%
Indiana$138$1,1866031,353+13.6%
Kansas$135$8475191,595+10.7%
New York$133$1,8641,8735,647+9.7%
Colorado$132$1,252359621+8.4%
Florida$130$1,5122,5736,366+6.5%
Nebraska$130$798297795+6.5%
Illinois$128$1,5041,1042,510+5.2%
New Jersey$127$1,5578682,141+4.2%
New Hampshire$124$1,529134268+1.9%
District of Columbia$123$914119304+1.5%
Massachusetts$123$1,0626851,742+0.9%
Texas$121$1,5022,8666,815-0.2%
Delaware$121$1,270135324-0.9%
Kentucky$120$1,2606581,833-1.2%
Missouri$118$1,0238582,102-3.1%
Louisiana$118$8817561,897-3.3%
Wisconsin$118$1,6105221,041-3.5%
Tennessee$117$1,1681,2203,161-3.5%
Ohio$116$1,0231,3402,741-4.8%
Virginia$114$1,2667991,932-6.0%
Connecticut$112$1,446313570-7.9%
Vermont$110$82146119-9.3%
Rhode Island$109$1,11650138-10.3%
Minnesota$108$1,0196271,243-11.2%
Maine$107$1,360153347-11.8%
North Dakota$106$1,0435797-13.2%
Mississippi$105$7774591,638-13.8%
Michigan$103$1,5141,2642,696-15.3%
West Virginia$102$1,1883681,097-15.8%
Pennsylvania$101$1,1411,5983,429-17.2%
Georgia$99$1,0681,4893,726-18.5%
North Carolina$98$1,2501,1522,908-19.3%
South Dakota$93$1,114143301-23.4%
Alabama$93$8571,0313,237-23.8%
South Carolina$88$1,2438572,765-27.4%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber