00562

Anesthesia for procedure on heart and large blood vessels using heart-lung machine (1 year or older)

Medicare pricing data for 7,537 providers across 50 states

🤖AI Overview

This procedure has a 8.7x markup — hospitals charge $6,541 but Medicare allows only $754.71. Uninsured patients may face bills 8.7 times higher than what insurance negotiates. Prices vary significantly by location — from $416 in South Dakota to $1,289 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 using heart-lung machine (1 year or older) (HCPCS code 00562) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $754.71, but hospitals typically charge $6,541 — a 8.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$150.94

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $754.71, your out-of-pocket cost would be approximately $150.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$754.71
Average Hospital Charge
$6,541
Markup Ratio
8.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$6,540.88
Medicare Allowed$754.71
Medicare Payment$601.52

Hospitals charge 8.7x more than what Medicare allows for this procedure. Medicare actually pays $601.52 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$1,289$7,720629+70.8%
Vermont$982$5,3121449+30.1%
Maryland$980$6,39487549+29.9%
Massachusetts$969$6,9271871,149+28.3%
California$968$6,9694302,345+28.2%
Utah$964$6,02060171+27.7%
New York$961$11,2303131,953+27.3%
Connecticut$958$8,53769327+26.9%
Washington$932$5,899134579+23.5%
New Mexico$909$7,4361466+20.4%
Montana$870$4,61135171+15.3%
Hawaii$868$6,510628+14.9%
Illinois$863$8,2023391,192+14.4%
Nebraska$848$4,55248204+12.3%
Iowa$846$5,79273284+12.1%
Oregon$844$5,17565361+11.8%
Colorado$840$7,61775318+11.3%
Nevada$836$7,89743218+10.7%
Idaho$835$5,66222107+10.7%
Oklahoma$833$4,76957369+10.4%
Rhode Island$833$5,4131042+10.4%
Indiana$832$5,514124681+10.3%
Delaware$828$7,1861660+9.7%
Wisconsin$808$9,062157568+7.0%
District of Columbia$805$5,97728180+6.6%
Arkansas$796$4,17775361+5.5%
New Jersey$780$6,062120684+3.3%
Texas$766$8,8334611,715+1.6%
Kentucky$763$5,022105334+1.1%
Maine$759$4,9682093+0.5%
Arizona$753$7,683104752-0.2%
New Hampshire$735$9,48740282-2.6%
Virginia$733$7,314174797-2.9%
Michigan$712$7,354295736-5.6%
Missouri$712$4,569206976-5.7%
Louisiana$694$4,569139312-8.0%
Florida$692$7,1445942,308-8.3%
Kansas$680$3,772100355-10.0%
Ohio$664$4,4543972,082-12.1%
Pennsylvania$652$5,2125391,993-13.7%
North Carolina$651$6,345276746-13.7%
South Carolina$632$6,733149489-16.3%
Tennessee$601$5,731251975-20.4%
North Dakota$599$4,19061128-20.7%
West Virginia$530$5,65969225-29.7%
Minnesota$517$4,6103531,526-31.5%
Georgia$501$5,500271982-33.6%
Mississippi$489$4,25576255-35.2%
Alabama$441$4,491195663-41.6%
South Dakota$416$4,01545156-44.9%

⚠️ 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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