00914

Anesthesia for removal of prostate including use of an endoscope

Medicare pricing data for 38,349 providers across 52 states

🤖AI Overview

This procedure has a 10.4x markup — hospitals charge $1,703 but Medicare allows only $164.31. Uninsured patients may face bills 10.4 times higher than what insurance negotiates. Prices vary significantly by location — from $124 in Alabama to $302 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 removal of prostate including use of an endoscope (HCPCS code 00914) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $164.31, but hospitals typically charge $1,703 — a 10.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$32.86

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $164.31, your out-of-pocket cost would be approximately $32.86. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$164.31
Average Hospital Charge
$1,703
Markup Ratio
10.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,702.73
Medicare Allowed$164.31
Medicare Payment$129.18

Hospitals charge 10.4x more than what Medicare allows for this procedure. Medicare actually pays $129.18 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$302$1,81876135+84.1%
Puerto Rico$258$9374398+57.2%
California$235$1,8112,5006,819+43.1%
Montana$231$1,423137395+40.6%
Utah$220$1,397285588+33.9%
Hawaii$218$1,48164127+32.6%
Oregon$210$1,374331834+27.9%
Idaho$209$1,385145371+27.0%
New Mexico$207$1,900173397+25.8%
Washington$206$1,4637651,705+25.2%
Nevada$201$1,888234630+22.1%
Wyoming$198$1,59944118+20.2%
Arkansas$194$1,167277627+18.2%
Maryland$193$1,7205151,944+17.2%
Arizona$192$2,0458082,936+16.6%
Iowa$187$1,258353956+13.7%
New York$185$2,5122,2325,639+12.5%
Nebraska$185$1,119284798+12.4%
Oklahoma$184$1,390370954+12.0%
Colorado$178$1,7856221,520+8.6%
Kansas$174$1,1144271,253+6.1%
New Jersey$174$2,1359502,425+5.9%
Indiana$173$1,5207562,062+5.5%
Florida$168$1,8572,8997,658+2.2%
Delaware$165$1,543155482+0.7%
District of Columbia$163$1,479164478-0.6%
Illinois$163$1,9981,6164,630-0.8%
Louisiana$160$1,3415941,235-2.6%
Kentucky$158$1,6295221,196-3.7%
Tennessee$157$1,5511,0482,490-4.6%
Texas$156$2,1342,8747,287-4.9%
Wisconsin$156$2,2428081,729-5.3%
Rhode Island$154$1,534106277-6.1%
Missouri$152$1,1909212,184-7.4%
Massachusetts$150$1,2521,0692,952-8.6%
New Hampshire$150$2,012221616-8.8%
North Dakota$150$1,236149307-9.0%
Ohio$147$1,3341,6984,455-10.8%
Connecticut$144$1,9545281,389-12.5%
Vermont$144$1,04868121-12.6%
Mississippi$139$1,156318984-15.3%
Minnesota$139$1,2919071,973-15.4%
Virginia$135$1,4819292,828-17.7%
Maine$135$1,397252613-17.7%
North Carolina$133$1,6911,3833,349-19.3%
Pennsylvania$132$1,4762,0874,897-19.4%
Michigan$132$1,8371,3412,958-19.9%
West Virginia$130$1,494241610-21.0%
South Dakota$129$1,166193491-21.3%
South Carolina$127$1,6877862,423-23.0%
Georgia$125$1,3111,3933,920-24.1%
Alabama$124$1,1696101,269-24.7%

⚠️ 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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