Anesthesia for other procedure on lower abdomen
Medicare pricing data for 66,133 providers across 52 states
This procedure has a 10.4x markup — hospitals charge $2,308 but Medicare allows only $221.68. Uninsured patients may face bills 10.4 times higher than what insurance negotiates. Prices vary significantly by location — from $162 in Alabama to $421 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 abdomen (HCPCS code 00840) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $221.68, but hospitals typically charge $2,308 — a 10.4x 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 $221.68, your out-of-pocket cost would be approximately $44.34. 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 10.4x more than what Medicare allows for this procedure. Medicare actually pays $174.43 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $421 | $2,612 | 133 | 574 | +90.0% |
| Puerto Rico | $321 | $2,092 | 71 | 249 | +44.9% |
| California | $313 | $2,408 | 4,077 | 16,546 | +41.0% |
| Wyoming | $292 | $2,305 | 77 | 344 | +31.6% |
| Montana | $290 | $1,731 | 196 | 912 | +31.0% |
| Oregon | $282 | $1,832 | 653 | 2,339 | +27.3% |
| Utah | $278 | $1,779 | 455 | 1,355 | +25.6% |
| Idaho | $277 | $1,899 | 275 | 888 | +25.0% |
| Hawaii | $273 | $1,905 | 134 | 491 | +23.2% |
| Arkansas | $268 | $1,631 | 534 | 2,143 | +20.8% |
| Washington | $266 | $1,903 | 1,273 | 4,697 | +20.0% |
| Nevada | $264 | $2,662 | 376 | 1,719 | +19.3% |
| New Mexico | $262 | $2,405 | 290 | 995 | +18.1% |
| Iowa | $260 | $1,685 | 570 | 2,673 | +17.3% |
| Maryland | $255 | $2,296 | 1,068 | 5,264 | +15.2% |
| Arizona | $253 | $2,985 | 1,136 | 5,226 | +13.9% |
| Indiana | $248 | $2,080 | 1,194 | 4,535 | +12.0% |
| New York | $245 | $3,243 | 3,637 | 15,860 | +10.5% |
| Oklahoma | $244 | $2,241 | 666 | 3,166 | +9.9% |
| New Jersey | $239 | $2,745 | 1,485 | 6,927 | +7.9% |
| Delaware | $237 | $2,621 | 229 | 1,259 | +7.1% |
| Nebraska | $237 | $1,551 | 491 | 2,025 | +7.0% |
| Louisiana | $232 | $1,788 | 991 | 3,315 | +4.7% |
| Colorado | $229 | $2,193 | 1,087 | 4,089 | +3.3% |
| Illinois | $229 | $2,819 | 2,413 | 10,555 | +3.3% |
| Florida | $227 | $2,508 | 4,755 | 19,645 | +2.3% |
| Kentucky | $222 | $2,120 | 1,074 | 3,922 | +0.2% |
| Kansas | $222 | $1,434 | 777 | 3,294 | -0.1% |
| Vermont | $221 | $1,519 | 121 | 464 | -0.2% |
| Massachusetts | $221 | $1,828 | 1,827 | 8,553 | -0.4% |
| New Hampshire | $220 | $3,091 | 412 | 1,884 | -0.7% |
| Texas | $217 | $2,774 | 5,045 | 19,152 | -2.3% |
| District of Columbia | $216 | $2,017 | 259 | 1,178 | -2.6% |
| Rhode Island | $216 | $1,851 | 185 | 807 | -2.6% |
| Tennessee | $215 | $2,080 | 1,799 | 6,346 | -3.1% |
| Connecticut | $208 | $2,493 | 880 | 3,434 | -6.2% |
| Wisconsin | $208 | $3,027 | 1,390 | 4,938 | -6.3% |
| Ohio | $207 | $1,784 | 3,045 | 10,881 | -6.4% |
| Missouri | $202 | $1,661 | 1,619 | 6,564 | -9.0% |
| Virginia | $195 | $2,367 | 1,779 | 8,607 | -11.9% |
| Maine | $190 | $2,207 | 453 | 1,505 | -14.3% |
| Michigan | $189 | $2,746 | 2,557 | 9,431 | -14.7% |
| West Virginia | $187 | $2,327 | 481 | 1,862 | -15.4% |
| Pennsylvania | $184 | $2,020 | 3,860 | 16,124 | -16.9% |
| North Dakota | $183 | $1,707 | 265 | 888 | -17.3% |
| Minnesota | $183 | $1,711 | 1,596 | 5,196 | -17.4% |
| Mississippi | $180 | $1,318 | 589 | 3,164 | -19.0% |
| South Dakota | $174 | $1,783 | 309 | 1,544 | -21.4% |
| North Carolina | $174 | $2,280 | 2,464 | 9,686 | -21.7% |
| Georgia | $173 | $1,959 | 2,393 | 10,200 | -21.7% |
| South Carolina | $171 | $2,378 | 1,344 | 6,939 | -22.9% |
| Alabama | $162 | $1,532 | 1,251 | 4,902 | -27.1% |
⚠️ 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