00910

Anesthesia for other procedure on urinary system through urethra

Medicare pricing data for 64,478 providers across 52 states

🤖AI Overview

This procedure has a 10.9x markup — hospitals charge $1,013 but Medicare allows only $93.04. Uninsured patients may face bills 10.9 times higher than what insurance negotiates. Prices vary significantly by location — from $69 in South Dakota to $176 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 urinary system through urethra (HCPCS code 00910) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $93.04, but hospitals typically charge $1,013 — a 10.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$18.61

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $93.04, your out-of-pocket cost would be approximately $18.61. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$93.04
Average Hospital Charge
$1,013
Markup Ratio
10.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,012.86
Medicare Allowed$93.04
Medicare Payment$72.90

Hospitals charge 10.9x more than what Medicare allows for this procedure. Medicare actually pays $72.90 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$176$1,116104357+89.4%
Puerto Rico$146$1,19563221+57.4%
California$138$1,1273,75613,765+47.8%
Hawaii$127$944124493+36.7%
Utah$127$8624221,195+36.4%
Montana$124$747176730+32.9%
Idaho$123$855221826+31.8%
Oregon$121$8325571,961+30.0%
Washington$120$9001,1824,282+28.9%
Nevada$119$1,2263151,117+27.7%
Wyoming$116$96364398+24.5%
Arizona$112$1,4791,1185,494+20.9%
Nebraska$112$7434362,027+20.2%
New Mexico$112$1,111271852+19.9%
Iowa$110$7855142,667+18.6%
Arkansas$109$6365232,984+17.2%
Maryland$109$1,1479736,487+16.7%
Colorado$107$1,1819333,334+15.4%
Oklahoma$107$9276573,913+14.6%
New York$105$1,4713,55517,252+13.3%
Louisiana$101$8381,0735,638+8.9%
Florida$100$1,1254,76724,262+7.9%
Indiana$99$8791,2286,378+6.0%
New Jersey$98$1,3431,57410,886+5.0%
Delaware$98$8952331,851+4.9%
Illinois$96$1,2262,57514,481+3.2%
District of Columbia$95$9612621,170+2.3%
Kansas$95$6356973,783+2.2%
Texas$95$1,3134,51918,081+1.9%
Kentucky$94$8681,0625,810+1.0%
Vermont$94$643119579+0.5%
New Hampshire$92$1,3013671,893-1.3%
Rhode Island$92$8571801,170-1.4%
Tennessee$90$8901,85810,269-3.6%
Missouri$88$7461,6238,348-5.3%
Massachusetts$88$7831,78610,359-5.4%
Connecticut$87$1,1438493,798-6.5%
Wisconsin$87$1,3261,3665,594-6.9%
Ohio$85$7923,05615,144-8.1%
Mississippi$83$5685746,153-10.4%
Georgia$80$8092,29012,821-13.5%
Virginia$80$9071,75310,887-14.3%
Maine$79$8764341,971-14.7%
North Dakota$79$7282541,191-14.8%
Minnesota$77$7371,6366,479-17.7%
North Carolina$76$1,0422,43111,426-18.2%
Michigan$76$1,1462,60412,758-18.6%
Pennsylvania$75$8203,99921,098-19.6%
South Carolina$74$1,0361,31310,240-20.4%
Alabama$73$7101,1515,807-21.6%
West Virginia$73$8314923,308-21.9%
South Dakota$69$8343192,068-26.3%

⚠️ 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