00541

Anesthesia for procedure on chest with 1 lung inflated

Medicare pricing data for 13,568 providers across 51 states

🤖AI Overview

This procedure has a 9.3x markup — hospitals charge $4,200 but Medicare allows only $449.95. Uninsured patients may face bills 9.3 times higher than what insurance negotiates. Prices vary significantly by location — from $270 in South Dakota to $790 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 procedure on chest with 1 lung inflated (HCPCS code 00541) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $449.95, but hospitals typically charge $4,200 — a 9.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$89.99

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $449.95, your out-of-pocket cost would be approximately $89.99. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$449.95
Average Hospital Charge
$4,200
Markup Ratio
9.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,200.39
Medicare Allowed$449.95
Medicare Payment$357.65

Hospitals charge 9.3x more than what Medicare allows for this procedure. Medicare actually pays $357.65 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$790$4,6312039+75.5%
Hawaii$602$3,9592142+33.8%
Utah$597$3,74479130+32.6%
California$592$4,1708302,170+31.6%
Washington$570$3,706257705+26.6%
Vermont$547$3,0651427+21.7%
Idaho$547$3,7912762+21.6%
Iowa$542$3,63498200+20.5%
Montana$542$3,05551115+20.5%
Nebraska$540$2,889118264+19.9%
Colorado$524$4,772155323+16.4%
Massachusetts$523$3,9274901,654+16.3%
New Mexico$522$4,3173863+16.0%
New York$518$5,8248322,838+15.2%
Oregon$516$3,185152330+14.6%
Nevada$512$4,57867156+13.7%
Puerto Rico$510$3,325711+13.4%
Indiana$509$3,754204534+13.1%
Oklahoma$502$3,58278264+11.6%
New Jersey$494$3,777360937+9.7%
Arizona$491$5,410211555+9.1%
District of Columbia$484$3,75273190+7.6%
Illinois$483$4,8615481,271+7.4%
Connecticut$480$5,032205437+6.8%
Maryland$475$4,339271698+5.5%
Arkansas$472$2,922119195+4.9%
Texas$463$5,2157201,580+2.9%
Kansas$450$2,693133294-0.0%
Delaware$447$3,86860124-0.7%
Wisconsin$447$5,368229464-0.8%
Louisiana$427$3,078177306-5.0%
Michigan$423$5,014520893-6.0%
Virginia$419$4,4763651,008-6.9%
Ohio$417$3,3495771,262-7.3%
Florida$414$4,4111,0402,512-7.9%
Rhode Island$407$3,23435104-9.6%
Missouri$406$3,027329709-9.9%
New Hampshire$400$6,719104233-11.1%
Pennsylvania$396$3,3389312,059-12.1%
Kentucky$392$3,432230511-12.9%
Maine$376$3,67590143-16.5%
Mississippi$364$2,573116223-19.2%
North Carolina$363$4,1215151,263-19.3%
Tennessee$362$4,022374880-19.5%
South Carolina$343$4,460299759-23.8%
North Dakota$336$3,15287151-25.3%
Georgia$324$3,6215201,107-28.0%
West Virginia$319$3,356108242-29.1%
Minnesota$315$3,167417843-30.0%
Alabama$284$2,917184432-36.9%
South Dakota$270$3,43161153-40.0%

⚠️ 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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