Anesthesia for other procedure on lower spine
Medicare pricing data for 36,729 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $451 | $2,736 | 66 | 161 | +82.2% |
| Wyoming | $405 | $2,610 | 52 | 189 | +63.8% |
| Puerto Rico | $379 | $3,127 | 22 | 48 | +53.0% |
| Montana | $340 | $1,966 | 134 | 326 | +37.4% |
| California | $336 | $2,780 | 2,290 | 6,032 | +35.8% |
| Idaho | $328 | $2,161 | 190 | 437 | +32.6% |
| Hawaii | $323 | $2,630 | 56 | 147 | +30.7% |
| Oregon | $309 | $1,976 | 375 | 1,074 | +24.9% |
| Utah | $305 | $1,944 | 290 | 718 | +23.3% |
| Washington | $305 | $2,237 | 810 | 2,057 | +23.3% |
| New York | $292 | $3,658 | 1,684 | 3,999 | +18.2% |
| Arizona | $292 | $3,892 | 653 | 1,782 | +17.9% |
| Arkansas | $290 | $1,841 | 347 | 1,182 | +17.3% |
| Maryland | $286 | $2,745 | 642 | 1,720 | +15.7% |
| New Mexico | $281 | $2,529 | 136 | 320 | +13.8% |
| Nevada | $276 | $3,067 | 216 | 804 | +11.7% |
| Louisiana | $268 | $2,441 | 508 | 1,536 | +8.5% |
| Colorado | $264 | $2,502 | 626 | 1,370 | +6.9% |
| Kansas | $264 | $1,815 | 444 | 1,195 | +6.6% |
| Iowa | $263 | $1,793 | 301 | 777 | +6.4% |
| Massachusetts | $258 | $2,076 | 1,062 | 2,744 | +4.5% |
| Kentucky | $256 | $2,377 | 525 | 1,118 | +3.7% |
| New Jersey | $256 | $2,666 | 796 | 2,336 | +3.3% |
| Indiana | $254 | $2,140 | 706 | 1,788 | +2.7% |
| Oklahoma | $254 | $1,856 | 424 | 1,543 | +2.6% |
| District of Columbia | $253 | $1,949 | 157 | 389 | +2.3% |
| Delaware | $251 | $2,550 | 112 | 225 | +1.6% |
| Missouri | $249 | $1,973 | 933 | 2,332 | +0.8% |
| New Hampshire | $249 | $2,768 | 219 | 556 | +0.8% |
| Nebraska | $249 | $1,461 | 286 | 959 | +0.6% |
| Illinois | $249 | $3,145 | 1,399 | 3,521 | +0.6% |
| Florida | $245 | $2,242 | 2,544 | 9,903 | -0.9% |
| Texas | $244 | $3,180 | 2,804 | 8,096 | -1.3% |
| Vermont | $241 | $1,700 | 61 | 142 | -2.4% |
| Mississippi | $240 | $1,535 | 341 | 1,177 | -2.8% |
| Rhode Island | $239 | $1,998 | 106 | 241 | -3.3% |
| Tennessee | $235 | $2,263 | 1,037 | 2,841 | -5.0% |
| Connecticut | $226 | $2,692 | 419 | 874 | -8.5% |
| Wisconsin | $222 | $3,205 | 723 | 1,485 | -10.2% |
| Ohio | $220 | $1,955 | 1,705 | 4,052 | -11.1% |
| Virginia | $219 | $2,280 | 1,035 | 2,449 | -11.4% |
| Michigan | $212 | $3,055 | 1,326 | 2,790 | -14.4% |
| West Virginia | $210 | $2,366 | 211 | 574 | -15.0% |
| Pennsylvania | $208 | $2,072 | 2,098 | 4,794 | -16.1% |
| Georgia | $207 | $2,354 | 1,287 | 3,034 | -16.3% |
| Maine | $201 | $2,141 | 251 | 530 | -18.6% |
| South Carolina | $198 | $2,400 | 818 | 2,456 | -20.1% |
| South Dakota | $197 | $1,855 | 224 | 615 | -20.5% |
| Minnesota | $191 | $1,785 | 891 | 1,897 | -22.7% |
| North Carolina | $187 | $2,456 | 1,351 | 3,699 | -24.3% |
| North Dakota | $181 | $1,457 | 196 | 590 | -27.0% |
| Alabama | $179 | $2,012 | 763 | 2,763 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber