00700

Anesthesia for other procedure on upper front abdomen

Medicare pricing data for 15,252 providers across 51 states

🤖AI Overview

This procedure has a 11.0x markup — hospitals charge $1,468 but Medicare allows only $133.96. Uninsured patients may face bills 11.0 times higher than what insurance negotiates. Prices vary significantly by location — from $95 in Kansas to $281 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 upper front abdomen (HCPCS code 00700) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $133.96, but hospitals typically charge $1,468 — a 11.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.79

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $133.96, your out-of-pocket cost would be approximately $26.79. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$133.96
Average Hospital Charge
$1,468
Markup Ratio
11.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,467.86
Medicare Allowed$133.96
Medicare Payment$105.94

Hospitals charge 11.0x more than what Medicare allows for this procedure. Medicare actually pays $105.94 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$281$1,6281821+109.9%
Hawaii$183$1,2802429+37.0%
Montana$180$1,1133032+34.4%
Nevada$177$1,85185102+32.3%
California$176$1,5821,0401,560+31.7%
Idaho$173$1,2083032+29.3%
Utah$172$1,14296131+28.7%
Delaware$156$1,50369125+16.7%
Oregon$156$1,038157195+16.4%
Maryland$153$1,388314460+14.0%
Nebraska$153$1,0647988+13.9%
New York$152$2,1091,0661,947+13.1%
Massachusetts$151$1,162505931+13.0%
Arizona$149$2,008205272+11.4%
District of Columbia$148$1,082113215+10.7%
New Mexico$148$1,6355060+10.6%
Iowa$147$1,1316379+10.0%
Vermont$147$1,1712123+9.7%
Indiana$147$1,327171227+9.4%
Washington$146$1,236323435+9.0%
Puerto Rico$144$1,0351326+7.6%
Arkansas$144$887125162+7.5%
Rhode Island$141$1,2463949+5.2%
New Jersey$140$1,737381533+4.7%
Illinois$140$1,839581836+4.5%
Kentucky$140$1,261207265+4.4%
Oklahoma$140$1,367132188+4.2%
Ohio$139$1,187542665+3.6%
Colorado$137$1,446241303+2.3%
Minnesota$133$1,209291388-0.7%
Louisiana$132$919271402-1.5%
Connecticut$129$1,646258447-3.9%
Florida$128$1,5131,2732,015-4.5%
Tennessee$126$1,368340443-5.9%
Texas$126$1,4281,1921,972-6.3%
Virginia$123$1,711447624-8.5%
Maine$122$1,4197083-8.7%
Missouri$121$1,035304390-9.4%
Wisconsin$120$2,037312416-10.2%
Michigan$116$1,755674920-13.3%
Pennsylvania$113$1,2258021,082-15.3%
Mississippi$111$748148224-16.8%
North Carolina$111$1,452400510-17.3%
West Virginia$109$1,16585101-18.4%
New Hampshire$109$1,967103187-18.6%
Georgia$105$1,194616908-21.5%
South Dakota$104$1,5125664-22.4%
Alabama$104$1,166261373-22.7%
South Carolina$103$1,465281366-23.3%
North Dakota$97$93375116-27.6%
Kansas$95$546200364-29.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber