00560

Anesthesia for procedure on heart and large blood vessels

Medicare pricing data for 12,267 providers across 52 states

🤖AI Overview

This procedure has a 9.4x markup — hospitals charge $3,714 but Medicare allows only $394.31. Uninsured patients may face bills 9.4 times higher than what insurance negotiates. Prices vary significantly by location — from $231 in South Dakota to $653 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 heart and large blood vessels (HCPCS code 00560) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $394.31, but hospitals typically charge $3,714 — a 9.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$78.86

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $394.31, your out-of-pocket cost would be approximately $78.86. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$394.31
Average Hospital Charge
$3,714
Markup Ratio
9.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,714.01
Medicare Allowed$394.31
Medicare Payment$313.56

Hospitals charge 9.4x more than what Medicare allows for this procedure. Medicare actually pays $313.56 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$653$4,034995+65.7%
Maryland$523$3,4081391,173+32.6%
California$519$3,6536885,936+31.6%
Wyoming$518$3,172730+31.5%
Massachusetts$502$3,7602532,263+27.2%
Hawaii$493$2,8641377+24.9%
Utah$485$2,76068510+23.0%
New Mexico$481$4,06124121+22.0%
New York$478$6,0215615,822+21.1%
Montana$477$2,62436410+21.0%
Colorado$471$3,890118667+19.4%
Oregon$468$2,944113852+18.6%
District of Columbia$468$3,61638263+18.6%
Nevada$453$4,39374507+14.9%
Iowa$453$3,099112623+14.8%
Oklahoma$451$3,02280836+14.3%
Idaho$450$3,07539291+14.1%
Arizona$445$4,3301491,583+12.8%
Vermont$444$2,52114157+12.7%
Nebraska$443$2,39870611+12.3%
Illinois$440$4,3654932,859+11.5%
Indiana$440$2,9261791,259+11.5%
Connecticut$432$4,174117793+9.6%
Arkansas$429$2,320119655+8.9%
Rhode Island$427$2,85528203+8.2%
Washington$416$3,1512291,955+5.6%
New Jersey$401$3,4643002,501+1.7%
Delaware$394$3,51937259+0.0%
Florida$394$4,2511,0095,872-0.0%
Texas$388$4,8868284,859-1.7%
Puerto Rico$383$2,0321052-2.8%
Virginia$382$4,2342852,041-3.1%
Maine$382$3,15353241-3.2%
Louisiana$380$2,997262950-3.7%
Kentucky$377$2,717198926-4.4%
New Hampshire$373$5,25660490-5.5%
Wisconsin$369$4,4712671,300-6.5%
Ohio$368$2,8055712,641-6.7%
Kansas$363$1,9981491,078-8.0%
Michigan$349$4,3145562,630-11.6%
Missouri$341$2,5873192,004-13.5%
Pennsylvania$326$2,9008385,074-17.4%
Tennessee$316$3,3723812,572-19.9%
North Dakota$299$2,18180354-24.1%
West Virginia$295$2,99294321-25.3%
North Carolina$293$3,4054982,907-25.6%
Minnesota$289$2,8374341,217-26.8%
South Carolina$287$3,4002731,753-27.3%
Georgia$273$3,2274402,666-30.8%
Mississippi$267$1,997146747-32.4%
Alabama$245$2,3723311,526-37.8%
South Dakota$231$2,25165555-41.5%

⚠️ 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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