00868

Anesthesia for kidney transplant

Medicare pricing data for 6,854 providers across 47 states

🤖AI Overview

This procedure has a 9.7x markup — hospitals charge $3,906 but Medicare allows only $400.99. Uninsured patients may face bills 9.7 times higher than what insurance negotiates. Prices vary significantly by location — from $252 in Mississippi to $583 in Puerto Rico. 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 kidney transplant (HCPCS code 00868) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $400.99, but hospitals typically charge $3,906 — a 9.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$80.20

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $400.99, your out-of-pocket cost would be approximately $80.20. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$400.99
Average Hospital Charge
$3,906
Markup Ratio
9.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,905.84
Medicare Allowed$400.99
Medicare Payment$318.68

Hospitals charge 9.7x more than what Medicare allows for this procedure. Medicare actually pays $318.68 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$583$1,061713+45.3%
New York$543$6,175439889+35.5%
Delaware$534$4,8721721+33.3%
Massachusetts$510$3,874230374+27.2%
Utah$508$3,1025493+26.6%
New Mexico$494$3,7513152+23.2%
Connecticut$492$4,60179117+22.7%
California$487$4,0406421,274+21.5%
Rhode Island$486$3,3462023+21.1%
Maryland$471$4,059100253+17.6%
Washington$465$3,540183315+16.0%
Indiana$455$3,26257109+13.4%
Kentucky$450$3,0976198+12.3%
Illinois$449$4,402309596+11.9%
North Dakota$447$2,5462837+11.6%
District of Columbia$435$3,63349136+8.4%
Iowa$435$2,6056395+8.4%
New Jersey$431$5,570158456+7.6%
Nebraska$430$2,6514160+7.3%
New Hampshire$418$7,6421721+4.2%
Nevada$415$3,2403462+3.6%
Florida$413$4,104362771+3.1%
Michigan$407$4,659209334+1.6%
Texas$407$4,7094921,041+1.5%
Oregon$405$2,35772125+0.9%
Pennsylvania$396$3,175351545-1.2%
Colorado$392$4,271119198-2.3%
Oklahoma$374$4,3766293-6.8%
Louisiana$364$2,908116198-9.1%
Missouri$362$2,920156363-9.7%
Virginia$358$4,499232400-10.7%
Arkansas$357$2,2014591-11.1%
Tennessee$355$3,330219419-11.4%
Maine$346$4,7162834-13.7%
West Virginia$334$4,9463390-16.7%
Ohio$324$2,466331674-19.2%
Minnesota$317$3,266227404-20.8%
Wisconsin$317$4,705150295-21.1%
North Carolina$316$3,218271521-21.1%
Hawaii$316$3,260715-21.2%
Georgia$307$3,337215514-23.5%
South Dakota$299$4,2383141-25.5%
South Carolina$287$3,684148332-28.5%
Arizona$283$2,725137488-29.4%
Alabama$283$3,78962146-29.5%
Kansas$269$1,58178115-32.9%
Mississippi$252$1,72162137-37.1%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber