00540

Anesthesia for other procedure on chest

Medicare pricing data for 5,391 providers across 45 states

🤖AI Overview

This procedure has a 9.6x markup — hospitals charge $3,554 but Medicare allows only $372.06. Uninsured patients may face bills 9.6 times higher than what insurance negotiates. Prices vary significantly by location — from $237 in Alabama to $523 in California. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 chest (HCPCS code 00540) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $372.06, but hospitals typically charge $3,554 — a 9.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$74.41

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $372.06, your out-of-pocket cost would be approximately $74.41. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$372.06
Average Hospital Charge
$3,554
Markup Ratio
9.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,553.73
Medicare Allowed$372.06
Medicare Payment$295.86

Hospitals charge 9.6x more than what Medicare allows for this procedure. Medicare actually pays $295.86 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$523$4,014360507+40.5%
Utah$500$2,9463137+34.4%
Idaho$492$3,3601623+32.1%
Nebraska$486$3,2644147+30.7%
Montana$484$2,9191416+30.0%
Washington$464$2,9116484+24.7%
Oklahoma$464$3,5435372+24.6%
Oregon$463$2,7985866+24.6%
District of Columbia$463$3,3802835+24.5%
Arkansas$452$2,57269109+21.6%
Maryland$445$3,53393138+19.7%
Nevada$438$4,1642732+17.7%
Iowa$436$3,3953643+17.1%
New York$418$4,583305409+12.4%
Massachusetts$418$3,139183281+12.4%
Indiana$415$3,74482112+11.6%
Colorado$411$3,6496091+10.5%
Illinois$410$4,267197276+10.2%
Arizona$407$4,50490115+9.5%
Louisiana$402$4,078107150+8.0%
Connecticut$399$4,1844653+7.3%
New Jersey$391$3,86197140+5.2%
New Mexico$386$3,4312533+3.7%
Kansas$385$2,4235361+3.4%
Texas$379$4,356365474+1.9%
Florida$376$4,008348432+1.0%
Kentucky$372$2,870101152-0.1%
Wisconsin$350$4,388117154-6.1%
New Hampshire$346$5,4885574-7.0%
Michigan$337$4,415194226-9.3%
Missouri$330$2,519184265-11.3%
Ohio$327$2,519302381-12.2%
Pennsylvania$323$3,138302411-13.1%
Maine$316$3,9621112-15.0%
Tennessee$316$3,308162263-15.1%
Virginia$309$3,618131172-17.0%
Delaware$307$2,8081417-17.6%
Minnesota$300$2,943116136-19.4%
South Carolina$299$3,270134170-19.5%
Mississippi$288$2,1015562-22.6%
North Carolina$274$3,528180260-26.4%
West Virginia$273$3,03180117-26.7%
Georgia$261$2,950243316-29.8%
South Dakota$243$2,4331315-34.7%
Alabama$237$2,205110143-36.4%

⚠️ 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