Anesthesia for repair or removal of vagina and urinary procedure
Medicare pricing data for 13,429 providers across 51 states
This procedure has a 10.1x markup — hospitals charge $1,696 but Medicare allows only $168.12. Uninsured patients may face bills 10.1 times higher than what insurance negotiates. Prices vary significantly by location — from $109 in South Dakota to $320 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 repair or removal of vagina and urinary procedure (HCPCS code 00942) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $168.12, but hospitals typically charge $1,696 — a 10.1x 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 $168.12, your out-of-pocket cost would be approximately $33.62. 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 10.1x more than what Medicare allows for this procedure. Medicare actually pays $131.82 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $320 | $1,863 | 32 | 48 | +90.1% |
| California | $233 | $1,765 | 932 | 1,298 | +38.9% |
| Montana | $231 | $1,355 | 46 | 60 | +37.6% |
| Nevada | $211 | $2,228 | 68 | 90 | +25.5% |
| Arkansas | $206 | $1,168 | 108 | 174 | +22.3% |
| New Jersey | $205 | $2,262 | 286 | 369 | +21.9% |
| Utah | $203 | $1,408 | 101 | 143 | +20.8% |
| Iowa | $203 | $1,289 | 142 | 199 | +20.5% |
| Idaho | $202 | $1,389 | 67 | 89 | +20.2% |
| Delaware | $200 | $1,744 | 62 | 90 | +19.2% |
| Oregon | $197 | $1,234 | 141 | 209 | +17.5% |
| New Mexico | $197 | $2,042 | 47 | 61 | +17.4% |
| Washington | $195 | $1,390 | 314 | 452 | +16.2% |
| Maryland | $195 | $1,725 | 201 | 303 | +15.9% |
| Hawaii | $195 | $1,407 | 29 | 35 | +15.8% |
| Arizona | $192 | $2,172 | 264 | 478 | +13.9% |
| Oklahoma | $191 | $1,538 | 166 | 287 | +13.3% |
| New York | $190 | $2,345 | 589 | 781 | +13.1% |
| New Hampshire | $189 | $2,814 | 86 | 113 | +12.5% |
| Indiana | $184 | $1,316 | 190 | 269 | +9.7% |
| Colorado | $184 | $1,734 | 164 | 207 | +9.6% |
| Wyoming | $182 | $1,293 | 19 | 28 | +8.1% |
| Kentucky | $182 | $1,412 | 183 | 225 | +8.0% |
| Louisiana | $181 | $1,290 | 147 | 202 | +7.7% |
| Kansas | $180 | $1,159 | 150 | 195 | +7.3% |
| Florida | $180 | $1,885 | 837 | 1,223 | +7.2% |
| Connecticut | $172 | $2,142 | 136 | 192 | +2.2% |
| Illinois | $172 | $2,124 | 472 | 613 | +2.1% |
| Texas | $170 | $2,242 | 988 | 1,378 | +1.0% |
| District of Columbia | $167 | $1,294 | 51 | 75 | -0.6% |
| Massachusetts | $162 | $1,334 | 435 | 709 | -3.9% |
| Missouri | $161 | $1,289 | 341 | 522 | -4.1% |
| Tennessee | $159 | $1,515 | 385 | 634 | -5.2% |
| Nebraska | $159 | $1,187 | 86 | 114 | -5.4% |
| Wisconsin | $154 | $2,370 | 244 | 346 | -8.2% |
| Minnesota | $149 | $1,378 | 239 | 326 | -11.4% |
| Ohio | $149 | $1,410 | 617 | 828 | -11.5% |
| Virginia | $148 | $1,592 | 456 | 743 | -12.0% |
| Michigan | $146 | $2,145 | 525 | 716 | -13.3% |
| Vermont | $143 | $895 | 37 | 53 | -14.8% |
| Georgia | $143 | $1,480 | 499 | 731 | -14.9% |
| Pennsylvania | $139 | $1,490 | 683 | 995 | -17.4% |
| North Carolina | $135 | $1,709 | 553 | 840 | -19.7% |
| North Dakota | $133 | $1,022 | 62 | 78 | -20.7% |
| West Virginia | $133 | $1,653 | 96 | 147 | -20.8% |
| Mississippi | $133 | $906 | 173 | 310 | -21.0% |
| Rhode Island | $130 | $1,210 | 45 | 98 | -22.4% |
| Maine | $130 | $1,521 | 101 | 154 | -22.9% |
| South Carolina | $124 | $1,760 | 381 | 693 | -26.4% |
| Alabama | $121 | $1,101 | 309 | 480 | -27.8% |
| South Dakota | $109 | $1,016 | 87 | 141 | -35.2% |
⚠️ 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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