Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope
Medicare pricing data for 48,017 providers across 52 states
This procedure has a 10.4x markup — hospitals charge $1,504 but Medicare allows only $144.23. Uninsured patients may face bills 10.4 times higher than what insurance negotiates. Prices vary significantly by location — from $106 in South Dakota to $286 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 fragmenting, manipulation and/or removal of kidney stone including use of an endoscope (HCPCS code 00918) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $144.23, but hospitals typically charge $1,504 — a 10.4x 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 $144.23, your out-of-pocket cost would be approximately $28.85. 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 10.4x more than what Medicare allows for this procedure. Medicare actually pays $113.66 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $286 | $1,733 | 95 | 246 | +98.2% |
| California | $217 | $1,676 | 2,655 | 6,734 | +50.7% |
| Puerto Rico | $204 | $1,851 | 41 | 93 | +41.5% |
| Montana | $199 | $1,133 | 157 | 459 | +37.9% |
| Hawaii | $193 | $1,300 | 96 | 270 | +34.0% |
| Utah | $193 | $1,198 | 354 | 897 | +33.9% |
| Idaho | $191 | $1,255 | 176 | 558 | +32.4% |
| Washington | $191 | $1,358 | 926 | 2,568 | +32.4% |
| Oregon | $190 | $1,256 | 447 | 1,268 | +31.7% |
| Wyoming | $189 | $1,467 | 53 | 237 | +30.7% |
| Nevada | $181 | $1,773 | 246 | 638 | +25.3% |
| New Mexico | $176 | $1,592 | 195 | 496 | +21.9% |
| Arkansas | $171 | $1,096 | 381 | 1,067 | +18.7% |
| Arizona | $171 | $1,893 | 839 | 2,457 | +18.5% |
| Oklahoma | $170 | $1,428 | 504 | 1,582 | +17.6% |
| Iowa | $170 | $1,123 | 422 | 1,621 | +17.5% |
| Maryland | $169 | $1,631 | 646 | 2,580 | +17.3% |
| Nebraska | $168 | $1,097 | 377 | 1,201 | +16.5% |
| New York | $165 | $2,113 | 2,475 | 7,559 | +14.6% |
| Colorado | $158 | $1,580 | 709 | 1,848 | +9.3% |
| District of Columbia | $155 | $1,622 | 179 | 562 | +7.3% |
| New Jersey | $155 | $1,820 | 1,178 | 4,040 | +7.3% |
| Indiana | $154 | $1,276 | 999 | 3,379 | +6.8% |
| Florida | $153 | $1,735 | 3,454 | 10,270 | +6.4% |
| Louisiana | $153 | $1,298 | 703 | 1,998 | +6.0% |
| Kansas | $152 | $952 | 559 | 1,992 | +5.4% |
| Illinois | $152 | $1,872 | 1,922 | 6,003 | +5.1% |
| Kentucky | $145 | $1,430 | 802 | 2,406 | +0.6% |
| Vermont | $144 | $890 | 106 | 359 | +0.1% |
| Delaware | $144 | $1,434 | 159 | 641 | -0.1% |
| Rhode Island | $143 | $1,425 | 145 | 539 | -1.1% |
| Texas | $142 | $1,961 | 3,300 | 9,006 | -1.5% |
| New Hampshire | $138 | $1,890 | 294 | 1,073 | -4.2% |
| Tennessee | $136 | $1,355 | 1,332 | 4,541 | -5.9% |
| Ohio | $135 | $1,200 | 2,259 | 6,783 | -6.1% |
| Massachusetts | $134 | $1,162 | 1,409 | 5,001 | -6.8% |
| Mississippi | $134 | $1,017 | 414 | 1,608 | -7.2% |
| Connecticut | $132 | $1,726 | 677 | 2,076 | -8.1% |
| Wisconsin | $132 | $1,964 | 1,070 | 3,065 | -8.6% |
| Missouri | $130 | $1,067 | 1,188 | 3,627 | -9.7% |
| Maine | $122 | $1,312 | 359 | 978 | -15.3% |
| Virginia | $122 | $1,247 | 1,213 | 5,078 | -15.7% |
| West Virginia | $120 | $1,232 | 342 | 1,106 | -16.6% |
| Pennsylvania | $118 | $1,322 | 2,992 | 9,941 | -18.0% |
| Minnesota | $118 | $1,115 | 1,220 | 3,244 | -18.3% |
| Michigan | $118 | $1,647 | 1,957 | 6,085 | -18.4% |
| North Dakota | $118 | $1,016 | 195 | 680 | -18.5% |
| Georgia | $118 | $1,192 | 1,633 | 5,159 | -18.5% |
| North Carolina | $114 | $1,495 | 1,893 | 6,128 | -20.6% |
| South Carolina | $111 | $1,535 | 1,034 | 4,237 | -23.0% |
| Alabama | $110 | $1,132 | 910 | 2,703 | -23.6% |
| South Dakota | $106 | $1,147 | 257 | 956 | -26.6% |
⚠️ 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