Anesthesia for procedure to repair upper abdominal incisional hernia and/or wound opening
Medicare pricing data for 19,870 providers across 52 states
This procedure has a 10.1x markup — hospitals charge $2,137 but Medicare allows only $212.57. Uninsured patients may face bills 10.1 times higher than what insurance negotiates. Prices vary significantly by location — from $156 in Mississippi to $372 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 to repair upper abdominal incisional hernia and/or wound opening (HCPCS code 00752) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $212.57, but hospitals typically charge $2,137 — a 10.1x 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 $212.57, your out-of-pocket cost would be approximately $42.51. 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 10.1x more than what Medicare allows for this procedure. Medicare actually pays $166.61 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $372 | $2,519 | 33 | 45 | +75.2% |
| California | $295 | $2,308 | 1,257 | 1,897 | +38.7% |
| Montana | $290 | $1,639 | 68 | 91 | +36.2% |
| Hawaii | $284 | $1,805 | 25 | 28 | +33.8% |
| New Mexico | $272 | $2,366 | 80 | 113 | +28.1% |
| Washington | $266 | $1,957 | 408 | 535 | +25.0% |
| Utah | $262 | $1,653 | 138 | 183 | +23.3% |
| Arkansas | $259 | $1,382 | 192 | 292 | +21.7% |
| Oregon | $258 | $1,696 | 152 | 209 | +21.3% |
| Nevada | $255 | $2,927 | 133 | 192 | +19.8% |
| Idaho | $254 | $1,748 | 93 | 122 | +19.3% |
| Maryland | $248 | $2,103 | 407 | 671 | +16.7% |
| Oklahoma | $242 | $2,201 | 225 | 361 | +14.0% |
| Wyoming | $241 | $2,717 | 20 | 34 | +13.2% |
| District of Columbia | $239 | $1,911 | 94 | 137 | +12.4% |
| Arizona | $239 | $2,998 | 343 | 473 | +12.3% |
| New York | $238 | $2,931 | 1,107 | 1,688 | +11.8% |
| Puerto Rico | $235 | $2,147 | 19 | 27 | +10.5% |
| Indiana | $234 | $1,811 | 451 | 632 | +10.1% |
| Colorado | $228 | $2,209 | 342 | 462 | +7.2% |
| Kansas | $225 | $1,521 | 263 | 444 | +5.7% |
| Iowa | $224 | $1,518 | 166 | 245 | +5.4% |
| New Jersey | $224 | $2,677 | 450 | 621 | +5.4% |
| Louisiana | $220 | $1,687 | 325 | 471 | +3.4% |
| Delaware | $212 | $2,273 | 89 | 136 | -0.2% |
| Illinois | $211 | $2,545 | 675 | 931 | -0.6% |
| Nebraska | $211 | $1,272 | 142 | 228 | -0.9% |
| New Hampshire | $209 | $2,284 | 84 | 116 | -1.5% |
| Texas | $209 | $2,725 | 1,642 | 2,435 | -1.6% |
| Connecticut | $209 | $2,454 | 203 | 306 | -1.6% |
| Florida | $208 | $2,224 | 1,325 | 1,927 | -2.0% |
| Tennessee | $206 | $2,019 | 616 | 956 | -3.3% |
| Wisconsin | $204 | $3,046 | 431 | 585 | -4.1% |
| Massachusetts | $203 | $1,620 | 613 | 940 | -4.4% |
| Missouri | $203 | $1,635 | 482 | 664 | -4.7% |
| Kentucky | $200 | $1,836 | 203 | 272 | -5.7% |
| Ohio | $200 | $1,631 | 889 | 1,235 | -5.7% |
| Minnesota | $196 | $1,872 | 318 | 422 | -7.7% |
| Rhode Island | $187 | $1,861 | 34 | 45 | -12.2% |
| Maine | $187 | $2,265 | 85 | 106 | -12.2% |
| North Dakota | $185 | $1,586 | 86 | 125 | -12.9% |
| Michigan | $184 | $2,488 | 527 | 700 | -13.5% |
| Virginia | $181 | $2,044 | 698 | 1,119 | -14.7% |
| Pennsylvania | $179 | $1,667 | 1,144 | 1,648 | -15.6% |
| South Carolina | $168 | $2,174 | 463 | 740 | -21.0% |
| Vermont | $167 | $1,015 | 39 | 64 | -21.3% |
| Georgia | $167 | $1,721 | 646 | 924 | -21.5% |
| West Virginia | $167 | $1,555 | 157 | 215 | -21.6% |
| North Carolina | $166 | $2,076 | 766 | 1,183 | -21.9% |
| Alabama | $165 | $1,731 | 351 | 535 | -22.6% |
| South Dakota | $164 | $1,936 | 108 | 175 | -23.0% |
| Mississippi | $156 | $1,218 | 169 | 265 | -26.6% |
⚠️ 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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