Anesthesia for other repair of lower abdomen hernia (1 year or older)
Medicare pricing data for 35,159 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $280 | $1,834 | 51 | 98 | +78.1% |
| Puerto Rico | $225 | $1,014 | 42 | 73 | +42.8% |
| California | $220 | $1,774 | 2,458 | 5,157 | +39.6% |
| Wyoming | $207 | $1,669 | 56 | 146 | +31.4% |
| Montana | $204 | $1,233 | 109 | 185 | +29.5% |
| Hawaii | $200 | $1,279 | 82 | 142 | +27.0% |
| Idaho | $200 | $1,377 | 124 | 258 | +26.9% |
| New Mexico | $196 | $1,740 | 144 | 300 | +24.2% |
| Oregon | $195 | $1,266 | 319 | 592 | +23.5% |
| Washington | $194 | $1,400 | 720 | 1,456 | +23.3% |
| Nevada | $193 | $1,808 | 174 | 324 | +22.7% |
| Iowa | $191 | $1,224 | 317 | 596 | +21.4% |
| Utah | $186 | $1,136 | 235 | 375 | +18.3% |
| Arkansas | $185 | $1,126 | 270 | 562 | +17.3% |
| Nebraska | $183 | $1,125 | 252 | 467 | +16.2% |
| Arizona | $181 | $1,801 | 587 | 1,176 | +14.7% |
| New York | $180 | $2,449 | 2,040 | 4,671 | +14.6% |
| Oklahoma | $177 | $1,526 | 325 | 630 | +12.3% |
| Indiana | $172 | $1,341 | 701 | 1,434 | +9.5% |
| Kansas | $172 | $1,108 | 405 | 800 | +9.1% |
| Maryland | $167 | $1,574 | 655 | 1,690 | +5.8% |
| Colorado | $166 | $1,568 | 541 | 918 | +5.1% |
| Illinois | $162 | $1,984 | 1,385 | 2,823 | +3.0% |
| Louisiana | $161 | $1,321 | 432 | 781 | +2.1% |
| New Jersey | $160 | $1,837 | 912 | 2,078 | +1.6% |
| Texas | $159 | $2,034 | 2,351 | 4,268 | +1.1% |
| Kentucky | $158 | $1,328 | 504 | 859 | +0.6% |
| Tennessee | $157 | $1,449 | 938 | 1,707 | -0.6% |
| Missouri | $156 | $1,269 | 777 | 1,403 | -0.7% |
| Florida | $156 | $1,717 | 2,384 | 4,555 | -0.8% |
| District of Columbia | $156 | $1,503 | 156 | 304 | -0.9% |
| Connecticut | $151 | $1,787 | 457 | 860 | -3.8% |
| Delaware | $150 | $1,649 | 147 | 421 | -5.0% |
| New Hampshire | $149 | $1,728 | 217 | 484 | -5.5% |
| Massachusetts | $145 | $1,171 | 1,097 | 2,919 | -8.2% |
| Vermont | $144 | $940 | 96 | 241 | -8.6% |
| Ohio | $142 | $1,142 | 1,436 | 2,633 | -9.9% |
| Maine | $140 | $1,577 | 234 | 451 | -10.8% |
| Wisconsin | $138 | $2,033 | 714 | 1,342 | -12.2% |
| Rhode Island | $138 | $1,152 | 122 | 292 | -12.6% |
| Virginia | $138 | $1,518 | 1,013 | 2,288 | -12.6% |
| Mississippi | $137 | $903 | 324 | 690 | -13.2% |
| Michigan | $132 | $1,694 | 1,272 | 2,370 | -15.9% |
| West Virginia | $131 | $1,358 | 234 | 452 | -17.1% |
| North Dakota | $130 | $1,078 | 174 | 353 | -17.5% |
| Minnesota | $129 | $1,198 | 834 | 1,516 | -18.1% |
| Pennsylvania | $129 | $1,361 | 2,189 | 4,679 | -18.3% |
| South Dakota | $126 | $1,264 | 153 | 321 | -20.2% |
| Georgia | $123 | $1,292 | 1,249 | 2,355 | -21.8% |
| Alabama | $122 | $1,179 | 525 | 1,033 | -22.7% |
| North Carolina | $122 | $1,561 | 1,404 | 2,850 | -22.8% |
| South Carolina | $119 | $1,531 | 763 | 1,730 | -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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