Anesthesia for extensive removal of prostate
Medicare pricing data for 17,856 providers across 52 states
This procedure has a 10.0x markup — hospitals charge $3,161 but Medicare allows only $317.65. Uninsured patients may face bills 10.0 times higher than what insurance negotiates. Prices vary significantly by location — from $213 in South Dakota to $610 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 extensive removal of prostate (HCPCS code 00865) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $317.65, but hospitals typically charge $3,161 — a 10.0x 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 $317.65, your out-of-pocket cost would be approximately $63.53. 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 10.0x more than what Medicare allows for this procedure. Medicare actually pays $251.01 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $610 | $3,447 | 27 | 39 | +92.2% |
| Puerto Rico | $477 | $1,733 | 12 | 31 | +50.1% |
| Montana | $443 | $2,443 | 89 | 162 | +39.5% |
| California | $438 | $3,341 | 1,276 | 2,484 | +37.9% |
| Wyoming | $431 | $2,608 | 19 | 34 | +35.8% |
| Nevada | $408 | $3,558 | 79 | 139 | +28.3% |
| Hawaii | $407 | $2,893 | 33 | 55 | +28.0% |
| Utah | $405 | $2,552 | 127 | 201 | +27.6% |
| Idaho | $402 | $2,662 | 89 | 144 | +26.5% |
| Arkansas | $399 | $2,366 | 133 | 262 | +25.7% |
| Oregon | $387 | $2,535 | 232 | 381 | +22.0% |
| Washington | $384 | $2,772 | 418 | 741 | +20.8% |
| New Mexico | $383 | $3,490 | 59 | 71 | +20.7% |
| Iowa | $378 | $2,468 | 202 | 393 | +18.9% |
| Arizona | $367 | $4,271 | 345 | 594 | +15.6% |
| New York | $356 | $3,868 | 1,079 | 2,002 | +12.1% |
| Oklahoma | $356 | $2,451 | 167 | 295 | +11.9% |
| Delaware | $344 | $3,127 | 46 | 66 | +8.2% |
| Rhode Island | $338 | $3,276 | 35 | 49 | +6.3% |
| Connecticut | $337 | $3,922 | 190 | 291 | +6.2% |
| Illinois | $336 | $4,462 | 711 | 1,178 | +5.7% |
| New Jersey | $329 | $3,811 | 359 | 614 | +3.4% |
| Missouri | $325 | $2,648 | 363 | 573 | +2.3% |
| Indiana | $320 | $2,870 | 310 | 467 | +0.8% |
| Kansas | $319 | $1,837 | 180 | 324 | +0.5% |
| North Dakota | $319 | $2,362 | 68 | 105 | +0.5% |
| Massachusetts | $319 | $2,454 | 566 | 1,009 | +0.5% |
| Louisiana | $317 | $2,398 | 267 | 397 | -0.2% |
| Texas | $309 | $3,709 | 1,262 | 2,522 | -2.9% |
| Tennessee | $307 | $3,031 | 552 | 853 | -3.3% |
| Maryland | $307 | $3,207 | 342 | 802 | -3.3% |
| Colorado | $305 | $3,000 | 296 | 518 | -3.9% |
| Kentucky | $304 | $3,230 | 194 | 314 | -4.3% |
| District of Columbia | $302 | $2,405 | 102 | 212 | -4.8% |
| Nebraska | $301 | $1,924 | 162 | 340 | -5.2% |
| Mississippi | $297 | $2,394 | 129 | 211 | -6.5% |
| Ohio | $289 | $2,540 | 821 | 1,568 | -9.2% |
| Florida | $288 | $3,113 | 1,051 | 2,184 | -9.5% |
| Michigan | $287 | $3,783 | 613 | 935 | -9.5% |
| Virginia | $282 | $3,395 | 466 | 854 | -11.2% |
| Wisconsin | $281 | $4,489 | 417 | 642 | -11.4% |
| West Virginia | $281 | $2,967 | 98 | 156 | -11.6% |
| Pennsylvania | $279 | $2,607 | 1,029 | 1,807 | -12.0% |
| Maine | $274 | $3,017 | 86 | 106 | -13.7% |
| North Carolina | $269 | $3,235 | 606 | 977 | -15.4% |
| New Hampshire | $265 | $4,386 | 104 | 166 | -16.5% |
| Vermont | $264 | $1,687 | 38 | 62 | -16.7% |
| Georgia | $251 | $2,746 | 648 | 1,149 | -21.0% |
| Minnesota | $249 | $2,307 | 494 | 961 | -21.6% |
| South Carolina | $237 | $3,631 | 395 | 717 | -25.3% |
| Alabama | $233 | $2,740 | 306 | 539 | -26.6% |
| South Dakota | $213 | $2,455 | 139 | 301 | -33.1% |
⚠️ 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