00846

Anesthesia for removal of uterus including use of an endoscope

Medicare pricing data for 4,548 providers across 43 states

🤖AI Overview

This procedure has a 9.9x markup — hospitals charge $3,294 but Medicare allows only $333.04. Uninsured patients may face bills 9.9 times higher than what insurance negotiates. Prices vary significantly by location — from $196 in South Dakota to $464 in California. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 removal of uterus including use of an endoscope (HCPCS code 00846) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $333.04, but hospitals typically charge $3,294 — a 9.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$66.61

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $333.04, your out-of-pocket cost would be approximately $66.61. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$333.04
Average Hospital Charge
$3,294
Markup Ratio
9.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,293.73
Medicare Allowed$333.04
Medicare Payment$264.21

Hospitals charge 9.9x more than what Medicare allows for this procedure. Medicare actually pays $264.21 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$464$3,396372503+39.4%
Massachusetts$415$2,966149196+24.5%
Delaware$413$4,2081111+24.1%
Utah$407$3,0191718+22.1%
Maryland$404$3,8387797+21.4%
Oregon$399$2,5204749+19.7%
New York$390$4,627306435+17.1%
New Jersey$369$3,669112139+10.7%
Arizona$365$4,169100127+9.7%
Washington$363$2,728122149+9.1%
Iowa$361$2,1835672+8.5%
Kentucky$357$2,5496473+7.3%
Illinois$356$3,991248306+7.0%
Hawaii$355$2,4091318+6.6%
Colorado$349$3,50582104+4.8%
Indiana$341$2,92499138+2.5%
New Hampshire$338$4,6822124+1.5%
Nevada$335$3,8633339+0.6%
Louisiana$333$1,9122832-0.1%
Ohio$326$2,917198238-2.1%
Oklahoma$324$3,4994248-2.7%
Minnesota$318$3,00299137-4.4%
Connecticut$311$3,1687086-6.6%
Florida$309$3,412301355-7.4%
Tennessee$306$2,90593108-8.2%
Missouri$305$2,280100143-8.4%
Texas$301$3,128281386-9.6%
Wisconsin$298$4,709117145-10.6%
District of Columbia$296$3,0752440-11.1%
North Carolina$295$3,157113131-11.6%
Pennsylvania$283$2,595284344-14.9%
Arkansas$282$2,1443846-15.4%
Kansas$274$1,7034655-17.7%
Michigan$273$3,766147165-18.0%
Alabama$264$2,8013236-20.7%
Virginia$263$4,415144222-20.9%
South Carolina$245$3,21296116-26.5%
Mississippi$242$2,0712026-27.3%
Maine$240$2,9902425-28.0%
Georgia$238$2,510140159-28.4%
West Virginia$224$2,2633036-32.8%
Nebraska$207$1,1214895-37.8%
South Dakota$196$3,4493851-41.1%

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

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