Anesthesia for exam of colon using an endoscope
Medicare pricing data for 63,815 providers across 52 states
This procedure has a 11.5x markup — hospitals charge $951.03 but Medicare allows only $82.47. Uninsured patients may face bills 11.5 times higher than what insurance negotiates. 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 exam of colon using an endoscope (HCPCS code 00812) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $82.47, but hospitals typically charge $951.03 — a 11.5x 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 $82.47, your out-of-pocket cost would be approximately $16.49. 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 11.5x more than what Medicare allows for this procedure. Medicare actually pays $82.47 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $125 | $958 | 121 | 823 | +51.1% |
| California | $105 | $1,104 | 3,465 | 33,920 | +26.8% |
| Montana | $103 | $717 | 184 | 2,579 | +24.9% |
| Wyoming | $100 | $858 | 79 | 1,131 | +20.7% |
| Washington | $97 | $828 | 1,016 | 9,766 | +18.1% |
| Puerto Rico | $97 | $1,416 | 39 | 535 | +17.8% |
| Idaho | $97 | $670 | 201 | 2,031 | +17.4% |
| Maryland | $95 | $1,061 | 1,031 | 18,554 | +15.8% |
| New Mexico | $95 | $1,197 | 246 | 2,529 | +15.5% |
| Oregon | $95 | $821 | 476 | 3,645 | +14.7% |
| Utah | $94 | $785 | 453 | 3,761 | +14.3% |
| Iowa | $94 | $736 | 449 | 3,808 | +14.2% |
| Nevada | $94 | $925 | 274 | 3,188 | +14.2% |
| New York | $94 | $1,435 | 3,681 | 42,952 | +14.0% |
| Hawaii | $93 | $659 | 135 | 1,022 | +13.2% |
| Arkansas | $91 | $722 | 475 | 6,107 | +10.7% |
| Nebraska | $90 | $685 | 427 | 3,812 | +9.5% |
| Oklahoma | $90 | $908 | 622 | 7,836 | +9.2% |
| Arizona | $90 | $1,642 | 1,019 | 12,920 | +8.9% |
| Illinois | $89 | $1,009 | 2,501 | 25,708 | +8.1% |
| Colorado | $88 | $997 | 927 | 8,585 | +7.2% |
| Indiana | $88 | $791 | 1,227 | 12,499 | +6.5% |
| Vermont | $87 | $649 | 106 | 1,051 | +5.2% |
| Kansas | $86 | $654 | 764 | 9,224 | +4.4% |
| New Jersey | $86 | $1,054 | 1,608 | 22,781 | +4.3% |
| Louisiana | $85 | $772 | 1,038 | 10,167 | +3.4% |
| Kentucky | $85 | $773 | 1,123 | 11,493 | +2.8% |
| Florida | $85 | $1,098 | 4,387 | 47,995 | +2.6% |
| Tennessee | $84 | $882 | 1,824 | 17,250 | +1.8% |
| Ohio | $82 | $705 | 2,848 | 25,898 | -0.8% |
| Missouri | $82 | $870 | 1,707 | 17,504 | -0.9% |
| Texas | $81 | $1,141 | 5,165 | 50,886 | -2.2% |
| Rhode Island | $80 | $1,351 | 194 | 2,916 | -2.7% |
| Virginia | $80 | $846 | 1,799 | 30,696 | -2.8% |
| Mississippi | $79 | $723 | 574 | 7,651 | -3.7% |
| District of Columbia | $79 | $795 | 304 | 2,466 | -4.2% |
| New Hampshire | $79 | $922 | 403 | 5,355 | -4.4% |
| North Carolina | $79 | $813 | 2,277 | 25,810 | -4.5% |
| North Dakota | $77 | $1,316 | 220 | 2,748 | -6.1% |
| Delaware | $77 | $982 | 218 | 4,213 | -6.9% |
| West Virginia | $75 | $903 | 463 | 4,316 | -8.6% |
| Georgia | $73 | $924 | 2,374 | 23,526 | -11.2% |
| Wisconsin | $73 | $1,120 | 1,388 | 11,537 | -11.2% |
| South Carolina | $73 | $833 | 1,288 | 17,646 | -11.8% |
| Connecticut | $72 | $964 | 966 | 9,748 | -12.2% |
| Maine | $70 | $709 | 448 | 3,980 | -14.6% |
| Massachusetts | $70 | $749 | 1,805 | 29,467 | -14.9% |
| Pennsylvania | $70 | $698 | 3,956 | 50,710 | -15.1% |
| South Dakota | $68 | $856 | 298 | 2,520 | -18.1% |
| Michigan | $67 | $861 | 2,756 | 25,235 | -18.2% |
| Minnesota | $65 | $691 | 1,255 | 8,994 | -21.0% |
| Alabama | $64 | $870 | 1,152 | 11,520 | -22.5% |
⚠️ 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