Anesthesia for other procedure on male genitals
Medicare pricing data for 21,753 providers across 52 states
This procedure has a 10.4x markup — hospitals charge $1,338 but Medicare allows only $129.02. Uninsured patients may face bills 10.4 times higher than what insurance negotiates. Prices vary significantly by location — from $88 in North Dakota to $234 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 male genitals (HCPCS code 00920) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $129.02, but hospitals typically charge $1,338 — 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 $129.02, your out-of-pocket cost would be approximately $25.80. 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 $100.61 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $234 | $1,426 | 53 | 69 | +81.2% |
| Puerto Rico | $201 | $960 | 22 | 33 | +56.1% |
| California | $179 | $1,425 | 1,358 | 2,069 | +38.9% |
| Maryland | $168 | $1,588 | 297 | 587 | +30.4% |
| Nevada | $168 | $1,518 | 113 | 160 | +30.0% |
| Hawaii | $168 | $1,269 | 39 | 52 | +29.9% |
| Montana | $166 | $964 | 78 | 108 | +28.4% |
| Washington | $163 | $1,250 | 395 | 561 | +26.6% |
| Utah | $162 | $1,027 | 123 | 175 | +25.4% |
| Nebraska | $159 | $967 | 140 | 195 | +23.3% |
| Wyoming | $157 | $1,347 | 29 | 45 | +21.6% |
| Idaho | $156 | $1,040 | 89 | 131 | +21.2% |
| Oregon | $155 | $1,019 | 185 | 280 | +20.4% |
| Arizona | $152 | $1,927 | 412 | 595 | +17.4% |
| New York | $149 | $2,068 | 1,109 | 1,647 | +15.7% |
| Arkansas | $148 | $888 | 206 | 334 | +14.4% |
| Rhode Island | $148 | $1,260 | 59 | 85 | +14.3% |
| District of Columbia | $147 | $1,266 | 97 | 135 | +14.3% |
| New Mexico | $144 | $1,367 | 106 | 146 | +11.6% |
| Iowa | $141 | $1,015 | 197 | 304 | +9.6% |
| Colorado | $139 | $1,403 | 256 | 367 | +8.0% |
| Florida | $139 | $1,514 | 1,499 | 2,329 | +7.9% |
| Oklahoma | $136 | $1,164 | 251 | 375 | +5.5% |
| Illinois | $132 | $1,654 | 882 | 1,302 | +2.6% |
| New Jersey | $132 | $1,599 | 503 | 729 | +2.3% |
| Connecticut | $131 | $1,513 | 242 | 347 | +1.9% |
| Tennessee | $130 | $1,209 | 618 | 1,057 | +0.6% |
| Louisiana | $129 | $1,121 | 421 | 598 | +0.3% |
| Kentucky | $129 | $1,074 | 365 | 583 | -0.1% |
| Massachusetts | $126 | $1,036 | 667 | 1,036 | -2.0% |
| Vermont | $125 | $789 | 57 | 81 | -2.8% |
| Indiana | $125 | $1,061 | 430 | 658 | -3.1% |
| Delaware | $125 | $1,183 | 92 | 161 | -3.5% |
| Ohio | $124 | $1,102 | 949 | 1,367 | -3.5% |
| Texas | $123 | $1,697 | 1,635 | 2,505 | -4.7% |
| Missouri | $123 | $980 | 512 | 797 | -5.0% |
| Kansas | $120 | $763 | 225 | 352 | -7.1% |
| New Hampshire | $117 | $1,591 | 115 | 166 | -9.1% |
| Wisconsin | $116 | $1,656 | 407 | 534 | -9.9% |
| Michigan | $114 | $1,562 | 741 | 1,016 | -11.6% |
| Minnesota | $112 | $1,051 | 502 | 708 | -13.1% |
| Georgia | $111 | $1,193 | 807 | 1,192 | -13.6% |
| Mississippi | $109 | $815 | 244 | 458 | -15.3% |
| Pennsylvania | $106 | $1,162 | 1,137 | 1,630 | -17.5% |
| Virginia | $103 | $1,101 | 579 | 1,069 | -19.9% |
| West Virginia | $102 | $1,081 | 147 | 230 | -21.1% |
| North Carolina | $101 | $1,292 | 931 | 1,449 | -21.3% |
| Maine | $99 | $1,094 | 139 | 215 | -23.6% |
| South Carolina | $96 | $1,290 | 488 | 948 | -25.8% |
| Alabama | $93 | $950 | 498 | 830 | -27.6% |
| South Dakota | $93 | $925 | 138 | 206 | -28.2% |
| North Dakota | $88 | $857 | 91 | 134 | -31.5% |
⚠️ 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