00630

Anesthesia for other procedure on lower spine

Medicare pricing data for 36,729 providers across 52 states

🤖AI Overview

This procedure has a 10.0x markup — hospitals charge $2,471 but Medicare allows only $247.35. Uninsured patients may face bills 10.0 times higher than what insurance negotiates. Prices vary significantly by location — from $179 in Alabama to $451 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 other procedure on lower spine (HCPCS code 00630) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $247.35, but hospitals typically charge $2,471 — a 10.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$49.47

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $247.35, your out-of-pocket cost would be approximately $49.47. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$247.35
Average Hospital Charge
$2,471
Markup Ratio
10.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,470.97
Medicare Allowed$247.35
Medicare Payment$195.30

Hospitals charge 10.0x more than what Medicare allows for this procedure. Medicare actually pays $195.30 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$451$2,73666161+82.2%
Wyoming$405$2,61052189+63.8%
Puerto Rico$379$3,1272248+53.0%
Montana$340$1,966134326+37.4%
California$336$2,7802,2906,032+35.8%
Idaho$328$2,161190437+32.6%
Hawaii$323$2,63056147+30.7%
Oregon$309$1,9763751,074+24.9%
Utah$305$1,944290718+23.3%
Washington$305$2,2378102,057+23.3%
New York$292$3,6581,6843,999+18.2%
Arizona$292$3,8926531,782+17.9%
Arkansas$290$1,8413471,182+17.3%
Maryland$286$2,7456421,720+15.7%
New Mexico$281$2,529136320+13.8%
Nevada$276$3,067216804+11.7%
Louisiana$268$2,4415081,536+8.5%
Colorado$264$2,5026261,370+6.9%
Kansas$264$1,8154441,195+6.6%
Iowa$263$1,793301777+6.4%
Massachusetts$258$2,0761,0622,744+4.5%
Kentucky$256$2,3775251,118+3.7%
New Jersey$256$2,6667962,336+3.3%
Indiana$254$2,1407061,788+2.7%
Oklahoma$254$1,8564241,543+2.6%
District of Columbia$253$1,949157389+2.3%
Delaware$251$2,550112225+1.6%
Missouri$249$1,9739332,332+0.8%
New Hampshire$249$2,768219556+0.8%
Nebraska$249$1,461286959+0.6%
Illinois$249$3,1451,3993,521+0.6%
Florida$245$2,2422,5449,903-0.9%
Texas$244$3,1802,8048,096-1.3%
Vermont$241$1,70061142-2.4%
Mississippi$240$1,5353411,177-2.8%
Rhode Island$239$1,998106241-3.3%
Tennessee$235$2,2631,0372,841-5.0%
Connecticut$226$2,692419874-8.5%
Wisconsin$222$3,2057231,485-10.2%
Ohio$220$1,9551,7054,052-11.1%
Virginia$219$2,2801,0352,449-11.4%
Michigan$212$3,0551,3262,790-14.4%
West Virginia$210$2,366211574-15.0%
Pennsylvania$208$2,0722,0984,794-16.1%
Georgia$207$2,3541,2873,034-16.3%
Maine$201$2,141251530-18.6%
South Carolina$198$2,4008182,456-20.1%
South Dakota$197$1,855224615-20.5%
Minnesota$191$1,7858911,897-22.7%
North Carolina$187$2,4561,3513,699-24.3%
North Dakota$181$1,457196590-27.0%
Alabama$179$2,0127632,763-27.6%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber