00940

Anesthesia for other procedure on female genitals

Medicare pricing data for 16,200 providers across 52 states

🤖AI Overview

This procedure has a 10.5x markup — hospitals charge $1,079 but Medicare allows only $102.87. Uninsured patients may face bills 10.5 times higher than what insurance negotiates. Prices vary significantly by location — from $77 in Alabama to $187 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 female genitals (HCPCS code 00940) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $102.87, but hospitals typically charge $1,079 — a 10.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$20.57

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $102.87, your out-of-pocket cost would be approximately $20.57. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$102.87
Average Hospital Charge
$1,079
Markup Ratio
10.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,078.55
Medicare Allowed$102.87
Medicare Payment$80.10

Hospitals charge 10.5x more than what Medicare allows for this procedure. Medicare actually pays $80.10 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$187$1,1312426+81.7%
Puerto Rico$156$8981318+51.8%
Oregon$152$995167215+47.5%
California$145$1,1651,1311,503+40.7%
Montana$143$9063952+39.4%
New Mexico$143$1,2736481+38.8%
Utah$139$9097589+35.3%
Hawaii$135$9572732+31.3%
Nevada$133$1,46784116+29.0%
Washington$127$988258309+23.8%
Iowa$125$831144178+21.6%
Idaho$124$9014650+20.1%
Arizona$120$1,608212257+16.2%
Oklahoma$120$1,224173245+16.2%
Delaware$118$1,15579121+14.3%
Kentucky$115$963248316+11.7%
Colorado$114$1,129198250+11.3%
New York$113$1,4979661,326+9.7%
Maryland$109$975348492+5.8%
Massachusetts$108$857568806+4.8%
Indiana$107$933352434+4.3%
Florida$107$1,1608991,161+4.3%
Arkansas$107$753151226+4.0%
Texas$107$1,3569511,229+3.6%
District of Columbia$106$9256798+3.2%
Illinois$105$1,285709947+1.9%
Wyoming$104$9141418+1.1%
New Jersey$103$1,176426565+0.6%
Nebraska$100$682113161-3.0%
Tennessee$98$1,014412547-4.5%
Missouri$98$807439612-4.7%
Louisiana$98$806230344-4.9%
Wisconsin$96$1,538290369-6.4%
Ohio$95$854743949-7.7%
Connecticut$94$1,138189253-9.0%
New Hampshire$92$1,302114138-10.7%
Virginia$91$1,255467709-11.8%
Kansas$89$596198273-13.2%
Maine$88$1,017117151-14.9%
North Dakota$86$7724956-16.1%
Vermont$86$6592834-16.5%
Michigan$85$1,243668852-17.3%
North Carolina$85$1,062592876-17.4%
Rhode Island$85$7045984-17.4%
Georgia$85$1,021540701-17.9%
Pennsylvania$82$8179661,349-20.0%
South Carolina$82$1,129363502-20.4%
Minnesota$81$795466606-20.8%
Mississippi$81$584157240-21.6%
West Virginia$78$1,162105174-24.2%
South Dakota$77$1,040108177-24.7%
Alabama$77$754251302-24.7%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber