00952

Anesthesia for exam of uterus using an endoscope

Medicare pricing data for 31,163 providers across 52 states

🤖AI Overview

This procedure has a 10.6x markup — hospitals charge $1,189 but Medicare allows only $112.62. Uninsured patients may face bills 10.6 times higher than what insurance negotiates. Prices vary significantly by location — from $86 in Minnesota to $206 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 exam of uterus using an endoscope (HCPCS code 00952) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $112.62, but hospitals typically charge $1,189 — a 10.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$22.52

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $112.62, your out-of-pocket cost would be approximately $22.52. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$112.62
Average Hospital Charge
$1,189
Markup Ratio
10.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,188.52
Medicare Allowed$112.62
Medicare Payment$88.22

Hospitals charge 10.6x more than what Medicare allows for this procedure. Medicare actually pays $88.22 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$206$1,19056100+82.7%
Puerto Rico$198$6263664+75.4%
California$160$1,2451,9273,413+42.3%
Montana$148$95296140+31.4%
Hawaii$147$1,02459104+31.0%
Utah$146$958132174+29.6%
Wyoming$143$1,1643457+26.9%
Idaho$142$96586113+25.7%
Nevada$138$1,423148235+22.2%
Oregon$138$905261417+22.2%
Washington$135$973504770+20.0%
Arkansas$134$917244402+19.4%
New Mexico$133$1,255124201+18.3%
Arizona$132$1,486486897+16.9%
New York$131$1,8432,0864,384+16.3%
Iowa$130$827282461+15.2%
Oklahoma$125$1,081253427+10.9%
Maryland$125$1,1366461,500+10.7%
Indiana$124$9966781,170+10.2%
Colorado$121$1,126442669+7.5%
Kentucky$121$1,035443735+7.4%
District of Columbia$120$1,191155328+6.6%
Louisiana$120$880319538+6.4%
New Jersey$119$1,3319402,053+6.0%
Florida$119$1,2952,0803,889+6.0%
Nebraska$118$838186324+5.2%
Kansas$118$837329589+4.7%
Texas$114$1,4631,7622,780+1.5%
Delaware$114$1,154140457+1.2%
Tennessee$113$1,0916951,081+0.2%
Illinois$112$1,3721,3862,735-0.5%
Vermont$108$75161133-4.5%
Missouri$105$9107681,312-6.4%
Massachusetts$105$8731,1062,505-7.0%
New Hampshire$104$1,306210391-7.6%
Connecticut$104$1,261470806-8.0%
Ohio$102$8771,4462,424-9.1%
Maine$102$1,107166265-9.2%
Mississippi$102$781228447-9.8%
West Virginia$98$1,105192376-12.9%
Virginia$98$1,2299361,921-12.9%
Wisconsin$98$1,4776431,117-13.1%
Georgia$94$1,0201,0001,647-16.7%
Michigan$93$1,4181,4252,591-17.4%
Rhode Island$92$77796239-18.3%
North Dakota$91$879108168-19.5%
North Carolina$90$1,1521,1242,036-20.2%
Pennsylvania$89$9332,1194,465-20.9%
South Dakota$88$1,002128205-21.8%
Alabama$87$790410631-22.5%
South Carolina$86$1,1856711,293-23.4%
Minnesota$86$8067711,297-23.8%

⚠️ 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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