Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
Medicare pricing data for 83,972 providers across 52 states
This procedure has a 10.4x markup — hospitals charge $1,106 but Medicare allows only $106.14. Uninsured patients may face bills 10.4 times higher than what insurance negotiates. Prices vary significantly by location — from $78 in Alabama to $174 in Alaska. Where you get this procedure matters more than almost any other factor. This is one of the most commonly performed procedures in Medicare, with 1.4 million services annually. Even small pricing inefficiencies here affect millions of patients. 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 esophagus, stomach, or upper small bowel using an endoscope (HCPCS code 00731) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $106.14, but hospitals typically charge $1,106 — a 10.4x 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 $106.14, your out-of-pocket cost would be approximately $21.23. 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 10.4x more than what Medicare allows for this procedure. Medicare actually pays $82.98 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $174 | $1,167 | 153 | 1,588 | +64.3% |
| California | $141 | $1,215 | 5,073 | 79,753 | +32.6% |
| Montana | $135 | $828 | 207 | 3,326 | +27.2% |
| Puerto Rico | $134 | $1,325 | 87 | 1,632 | +26.2% |
| Oregon | $130 | $908 | 774 | 8,248 | +22.2% |
| Wyoming | $129 | $1,050 | 94 | 1,654 | +21.4% |
| Utah | $128 | $839 | 538 | 6,273 | +20.6% |
| Idaho | $128 | $825 | 274 | 3,063 | +20.3% |
| Nevada | $127 | $1,290 | 444 | 8,303 | +19.2% |
| Hawaii | $126 | $890 | 166 | 2,339 | +18.6% |
| New York | $125 | $1,708 | 4,990 | 91,425 | +17.7% |
| Washington | $122 | $956 | 1,559 | 21,026 | +15.3% |
| Iowa | $122 | $861 | 603 | 7,166 | +15.0% |
| New Mexico | $121 | $1,142 | 366 | 4,755 | +13.8% |
| Arkansas | $119 | $843 | 679 | 13,159 | +12.4% |
| Maryland | $118 | $1,178 | 1,316 | 26,705 | +10.8% |
| Arizona | $117 | $1,476 | 1,360 | 24,623 | +10.3% |
| Oklahoma | $117 | $1,000 | 775 | 14,171 | +10.1% |
| New Jersey | $115 | $1,327 | 1,976 | 40,725 | +8.6% |
| Nebraska | $114 | $739 | 601 | 8,486 | +7.5% |
| Florida | $112 | $1,290 | 6,275 | 106,284 | +6.0% |
| Indiana | $112 | $964 | 1,479 | 25,895 | +6.0% |
| Kentucky | $110 | $1,008 | 1,383 | 23,220 | +3.6% |
| Colorado | $110 | $1,080 | 1,322 | 16,582 | +3.6% |
| Delaware | $110 | $1,092 | 270 | 5,443 | +3.4% |
| Illinois | $108 | $1,206 | 3,093 | 52,549 | +1.6% |
| Louisiana | $108 | $849 | 1,354 | 21,986 | +1.4% |
| Vermont | $105 | $762 | 140 | 1,586 | -0.7% |
| Tennessee | $105 | $1,053 | 2,435 | 37,371 | -1.0% |
| Missouri | $104 | $892 | 2,072 | 34,304 | -2.2% |
| Texas | $103 | $1,314 | 6,640 | 97,543 | -2.5% |
| District of Columbia | $103 | $928 | 361 | 5,217 | -2.9% |
| Kansas | $103 | $657 | 960 | 17,087 | -3.1% |
| Ohio | $101 | $878 | 3,879 | 57,025 | -5.2% |
| Mississippi | $100 | $681 | 709 | 17,101 | -5.9% |
| New Hampshire | $99 | $1,342 | 483 | 8,013 | -6.7% |
| Wisconsin | $96 | $1,364 | 1,822 | 21,059 | -9.3% |
| Massachusetts | $96 | $836 | 2,202 | 43,561 | -9.6% |
| North Dakota | $96 | $943 | 331 | 5,439 | -9.7% |
| Virginia | $95 | $1,095 | 2,133 | 42,392 | -10.3% |
| Connecticut | $95 | $1,119 | 1,116 | 17,580 | -10.3% |
| Rhode Island | $94 | $869 | 218 | 4,969 | -11.5% |
| Minnesota | $91 | $823 | 1,980 | 22,546 | -13.8% |
| West Virginia | $91 | $926 | 628 | 10,512 | -14.1% |
| North Carolina | $91 | $942 | 3,032 | 50,040 | -14.2% |
| Georgia | $90 | $1,010 | 3,050 | 46,478 | -15.0% |
| Pennsylvania | $90 | $885 | 4,991 | 83,804 | -15.6% |
| South Carolina | $89 | $951 | 1,646 | 34,905 | -15.9% |
| Michigan | $88 | $1,134 | 3,408 | 51,106 | -17.4% |
| Maine | $87 | $808 | 530 | 7,433 | -18.4% |
| South Dakota | $82 | $927 | 375 | 6,484 | -22.7% |
| Alabama | $78 | $854 | 1,552 | 28,611 | -26.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber