00830

Anesthesia for other repair of lower abdomen hernia (1 year or older)

Medicare pricing data for 35,159 providers across 52 states

🤖AI Overview

This procedure has a 10.1x markup — hospitals charge $1,594 but Medicare allows only $157.47. Uninsured patients may face bills 10.1 times higher than what insurance negotiates. Prices vary significantly by location — from $119 in South Carolina to $280 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 repair of lower abdomen hernia (1 year or older) (HCPCS code 00830) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $157.47, but hospitals typically charge $1,594 — a 10.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$31.49

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $157.47, your out-of-pocket cost would be approximately $31.49. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$157.47
Average Hospital Charge
$1,594
Markup Ratio
10.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,593.96
Medicare Allowed$157.47
Medicare Payment$122.89

Hospitals charge 10.1x more than what Medicare allows for this procedure. Medicare actually pays $122.89 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$280$1,8345198+78.1%
Puerto Rico$225$1,0144273+42.8%
California$220$1,7742,4585,157+39.6%
Wyoming$207$1,66956146+31.4%
Montana$204$1,233109185+29.5%
Hawaii$200$1,27982142+27.0%
Idaho$200$1,377124258+26.9%
New Mexico$196$1,740144300+24.2%
Oregon$195$1,266319592+23.5%
Washington$194$1,4007201,456+23.3%
Nevada$193$1,808174324+22.7%
Iowa$191$1,224317596+21.4%
Utah$186$1,136235375+18.3%
Arkansas$185$1,126270562+17.3%
Nebraska$183$1,125252467+16.2%
Arizona$181$1,8015871,176+14.7%
New York$180$2,4492,0404,671+14.6%
Oklahoma$177$1,526325630+12.3%
Indiana$172$1,3417011,434+9.5%
Kansas$172$1,108405800+9.1%
Maryland$167$1,5746551,690+5.8%
Colorado$166$1,568541918+5.1%
Illinois$162$1,9841,3852,823+3.0%
Louisiana$161$1,321432781+2.1%
New Jersey$160$1,8379122,078+1.6%
Texas$159$2,0342,3514,268+1.1%
Kentucky$158$1,328504859+0.6%
Tennessee$157$1,4499381,707-0.6%
Missouri$156$1,2697771,403-0.7%
Florida$156$1,7172,3844,555-0.8%
District of Columbia$156$1,503156304-0.9%
Connecticut$151$1,787457860-3.8%
Delaware$150$1,649147421-5.0%
New Hampshire$149$1,728217484-5.5%
Massachusetts$145$1,1711,0972,919-8.2%
Vermont$144$94096241-8.6%
Ohio$142$1,1421,4362,633-9.9%
Maine$140$1,577234451-10.8%
Wisconsin$138$2,0337141,342-12.2%
Rhode Island$138$1,152122292-12.6%
Virginia$138$1,5181,0132,288-12.6%
Mississippi$137$903324690-13.2%
Michigan$132$1,6941,2722,370-15.9%
West Virginia$131$1,358234452-17.1%
North Dakota$130$1,078174353-17.5%
Minnesota$129$1,1988341,516-18.1%
Pennsylvania$129$1,3612,1894,679-18.3%
South Dakota$126$1,264153321-20.2%
Georgia$123$1,2921,2492,355-21.8%
Alabama$122$1,1795251,033-22.7%
North Carolina$122$1,5611,4042,850-22.8%
South Carolina$119$1,5317631,730-24.7%

⚠️ 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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