Anesthesia for shock wave therapy for urinary system stones without water bath
Medicare pricing data for 17,553 providers across 52 states
This procedure has a 10.0x markup — hospitals charge $1,404 but Medicare allows only $140.21. Uninsured patients may face bills 10.0 times higher than what insurance negotiates. Prices vary significantly by location — from $100 in Pennsylvania to $253 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 shock wave therapy for urinary system stones without water bath (HCPCS code 00873) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $140.21, but hospitals typically charge $1,404 — 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 $140.21, your out-of-pocket cost would be approximately $28.04. 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 $110.28 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $253 | $1,514 | 19 | 31 | +80.5% |
| Puerto Rico | $229 | $927 | 23 | 53 | +63.0% |
| California | $204 | $1,577 | 1,103 | 2,499 | +45.3% |
| Montana | $199 | $1,146 | 75 | 137 | +41.6% |
| Hawaii | $195 | $1,332 | 19 | 45 | +38.9% |
| Wyoming | $188 | $1,396 | 23 | 49 | +34.2% |
| Utah | $187 | $1,039 | 147 | 398 | +33.3% |
| Nebraska | $183 | $1,001 | 147 | 391 | +30.5% |
| Washington | $179 | $1,329 | 328 | 725 | +27.4% |
| Arizona | $178 | $2,432 | 560 | 1,635 | +27.3% |
| Kansas | $177 | $1,032 | 136 | 349 | +26.6% |
| Oregon | $177 | $1,151 | 111 | 170 | +26.3% |
| Arkansas | $177 | $912 | 206 | 561 | +26.0% |
| Colorado | $177 | $1,522 | 181 | 436 | +26.0% |
| Idaho | $177 | $1,147 | 84 | 167 | +25.9% |
| Nevada | $174 | $1,887 | 124 | 259 | +23.8% |
| Oklahoma | $163 | $1,233 | 242 | 852 | +16.1% |
| New Jersey | $161 | $1,713 | 380 | 1,718 | +14.8% |
| Delaware | $160 | $1,344 | 86 | 462 | +13.8% |
| Maryland | $158 | $1,719 | 156 | 746 | +12.8% |
| New Mexico | $156 | $1,315 | 66 | 114 | +11.3% |
| Iowa | $154 | $1,062 | 176 | 469 | +9.8% |
| Louisiana | $151 | $982 | 313 | 756 | +7.5% |
| Indiana | $148 | $1,177 | 435 | 1,132 | +5.5% |
| Florida | $148 | $1,554 | 1,398 | 3,190 | +5.3% |
| North Dakota | $146 | $1,147 | 36 | 64 | +4.4% |
| New York | $146 | $2,330 | 796 | 1,905 | +3.9% |
| Illinois | $144 | $1,596 | 667 | 1,814 | +2.4% |
| Wisconsin | $142 | $1,863 | 253 | 419 | +1.0% |
| Tennessee | $140 | $1,265 | 635 | 1,468 | -0.3% |
| Kentucky | $139 | $1,027 | 387 | 1,172 | -1.2% |
| Missouri | $137 | $1,227 | 429 | 1,124 | -2.0% |
| Ohio | $135 | $1,159 | 914 | 2,231 | -3.8% |
| Texas | $134 | $1,886 | 1,469 | 3,260 | -4.6% |
| District of Columbia | $133 | $1,813 | 20 | 50 | -5.5% |
| Maine | $131 | $1,271 | 54 | 90 | -6.8% |
| Mississippi | $122 | $873 | 343 | 1,561 | -12.9% |
| Vermont | $122 | $923 | 18 | 34 | -13.2% |
| South Dakota | $121 | $1,121 | 86 | 150 | -14.0% |
| Georgia | $117 | $1,133 | 687 | 1,832 | -16.4% |
| New Hampshire | $115 | $1,467 | 79 | 175 | -17.8% |
| North Carolina | $113 | $1,378 | 338 | 809 | -19.1% |
| Minnesota | $112 | $1,097 | 227 | 343 | -19.8% |
| Rhode Island | $109 | $893 | 42 | 128 | -22.0% |
| Connecticut | $107 | $1,215 | 241 | 565 | -23.8% |
| South Carolina | $107 | $1,133 | 400 | 1,576 | -24.0% |
| West Virginia | $106 | $1,133 | 172 | 452 | -24.7% |
| Virginia | $103 | $1,086 | 333 | 1,091 | -26.3% |
| Michigan | $103 | $1,481 | 600 | 1,268 | -26.3% |
| Massachusetts | $103 | $1,129 | 472 | 1,623 | -26.7% |
| Alabama | $101 | $920 | 471 | 1,435 | -28.0% |
| Pennsylvania | $100 | $1,108 | 786 | 1,797 | -28.8% |
⚠️ 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