00800

Anesthesia for other procedure on lower front abdomen

Medicare pricing data for 16,505 providers across 52 states

🤖AI Overview

This procedure has a 10.7x markup — hospitals charge $1,326 but Medicare allows only $123.76. Uninsured patients may face bills 10.7 times higher than what insurance negotiates. Prices vary significantly by location — from $88 in South Dakota to $215 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 front abdomen (HCPCS code 00800) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $123.76, but hospitals typically charge $1,326 — a 10.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.75

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $123.76, your out-of-pocket cost would be approximately $24.75. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$123.76
Average Hospital Charge
$1,326
Markup Ratio
10.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,325.61
Medicare Allowed$123.76
Medicare Payment$97.60

Hospitals charge 10.7x more than what Medicare allows for this procedure. Medicare actually pays $97.60 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$215$1,2642327+73.3%
California$173$1,4631,0721,397+39.5%
Montana$172$9964759+38.9%
Utah$166$1,1298295+34.3%
Wyoming$155$1,2792327+25.6%
Oregon$155$1,000159196+25.3%
Iowa$154$1,023138167+24.6%
Idaho$154$1,0796485+24.2%
Nevada$151$1,48484125+21.7%
New Mexico$150$1,4115362+20.8%
Puerto Rico$149$1,2731517+20.5%
Washington$148$1,118324408+19.5%
Arkansas$148$982117147+19.4%
Hawaii$146$9703133+18.3%
Maryland$145$1,494306395+17.0%
Louisiana$134$990263332+8.6%
Florida$133$1,5731,2431,593+7.5%
Arizona$133$1,484281375+7.5%
New Jersey$133$1,663412565+7.4%
New York$132$1,5548681,240+6.8%
Nebraska$132$853125165+6.6%
Oklahoma$131$1,251192283+5.8%
New Hampshire$130$2,3146990+4.8%
Indiana$129$1,180274337+4.5%
Illinois$128$1,567693880+3.1%
Massachusetts$126$1,084482642+2.0%
Kentucky$126$1,246254323+1.4%
Colorado$125$1,374236292+1.2%
District of Columbia$124$1,05094134+0.5%
Tennessee$123$1,270415514-0.2%
Ohio$120$1,098653794-3.1%
Rhode Island$118$1,0894450-4.6%
Texas$118$1,5741,1971,551-4.7%
Vermont$117$9311820-5.4%
Wisconsin$116$1,674296360-6.3%
Kansas$116$743231334-6.5%
Virginia$115$1,481363449-6.9%
Connecticut$114$1,416156197-7.7%
Delaware$114$1,43384132-8.2%
Minnesota$113$1,052401511-8.8%
Missouri$112$957481646-9.5%
Pennsylvania$102$1,1129731,273-17.6%
Michigan$102$1,595735983-17.9%
Georgia$102$1,254609783-18.0%
Alabama$101$1,023245304-18.4%
North Carolina$100$1,188594790-19.6%
West Virginia$99$1,283117158-19.7%
Maine$99$1,0227189-19.9%
Mississippi$98$760209320-20.4%
South Carolina$97$1,352361553-21.6%
North Dakota$96$8895374-22.6%
South Dakota$88$1,12290122-29.2%

⚠️ 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