00832

Anesthesia for repair of abdominal wall hernia

Medicare pricing data for 14,353 providers across 52 states

🤖AI Overview

This procedure has a 11.0x markup — hospitals charge $2,338 but Medicare allows only $213.54. Uninsured patients may face bills 11.0 times higher than what insurance negotiates. Prices vary significantly by location — from $159 in North Carolina to $396 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 repair of abdominal wall hernia (HCPCS code 00832) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $213.54, but hospitals typically charge $2,338 — a 11.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$42.71

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $213.54, your out-of-pocket cost would be approximately $42.71. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$213.54
Average Hospital Charge
$2,338
Markup Ratio
11.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,338.46
Medicare Allowed$213.54
Medicare Payment$167.88

Hospitals charge 11.0x more than what Medicare allows for this procedure. Medicare actually pays $167.88 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$396$2,6082940+85.6%
Puerto Rico$310$1,4741322+45.4%
California$294$2,3928091,142+37.8%
Utah$290$2,0336979+35.8%
New Mexico$288$2,9066074+35.1%
Washington$283$2,122227279+32.5%
Idaho$283$2,1913746+32.3%
Wyoming$281$1,9932534+31.6%
Iowa$271$1,697113151+26.8%
Nebraska$270$1,796111151+26.5%
Oregon$267$1,746104129+24.9%
Arizona$255$2,931355583+19.5%
Montana$254$1,4293643+19.0%
Rhode Island$252$2,2734150+17.8%
Oklahoma$245$1,808175269+14.7%
Nevada$244$2,57889128+14.5%
Colorado$243$2,120169202+13.9%
New York$243$3,5898001,191+13.8%
Indiana$234$2,249240320+9.8%
Arkansas$232$1,582121172+8.5%
Florida$229$2,6821,0461,462+7.2%
Illinois$226$2,956584853+5.6%
Hawaii$225$1,6751517+5.5%
Maryland$224$2,365203288+4.9%
District of Columbia$224$2,3775984+4.7%
Texas$219$2,9539341,223+2.5%
New Jersey$219$2,371371581+2.4%
Louisiana$217$1,887159211+1.8%
Tennessee$217$2,165286385+1.6%
Kentucky$215$2,249267349+0.5%
Massachusetts$210$1,849355475-1.6%
Ohio$203$1,731735976-5.1%
New Hampshire$196$3,172124172-8.0%
Connecticut$195$2,822180248-8.5%
Kansas$195$1,208198280-8.6%
Missouri$195$1,647418599-8.6%
South Dakota$193$2,1026283-9.4%
North Dakota$190$1,7045371-11.0%
Wisconsin$189$2,845223282-11.6%
Delaware$189$2,4115377-11.7%
Vermont$187$1,2863348-12.3%
Virginia$187$2,304351513-12.7%
Minnesota$179$1,682357476-16.0%
Michigan$179$2,702668896-16.2%
Maine$177$2,07288119-17.1%
Pennsylvania$176$2,0839801,357-17.6%
West Virginia$174$2,19279104-18.6%
Mississippi$172$1,089183318-19.4%
South Carolina$172$2,227242336-19.4%
Georgia$164$2,051574847-23.1%
Alabama$162$1,540252382-23.9%
North Carolina$159$2,178518703-25.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber

🏥 See Medicare hospital data on OpenMedicare