01112

Anesthesia for bone marrow aspiration and/or biopsy at pelvic bone

Medicare pricing data for 5,652 providers across 46 states

🤖AI Overview

This procedure has a 10.9x markup — hospitals charge $1,231 but Medicare allows only $113.38. Uninsured patients may face bills 10.9 times higher than what insurance negotiates. Prices vary significantly by location — from $66 in South Dakota to $215 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 bone marrow aspiration and/or biopsy at pelvic bone (HCPCS code 01112) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $113.38, but hospitals typically charge $1,231 — a 10.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$22.68

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $113.38, your out-of-pocket cost would be approximately $22.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$113.38
Average Hospital Charge
$1,231
Markup Ratio
10.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,231.17
Medicare Allowed$113.38
Medicare Payment$88.91

Hospitals charge 10.9x more than what Medicare allows for this procedure. Medicare actually pays $88.91 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$215$929817+90.0%
Maryland$188$1,81677102+66.2%
Utah$185$1,2465169+62.8%
Nevada$154$1,5022128+35.4%
Idaho$153$1,2741379+34.7%
Colorado$150$1,5143745+32.1%
Wyoming$149$1,1581743+31.7%
California$149$1,0624091,003+31.7%
New York$147$2,7524241,049+29.4%
Iowa$146$8674098+28.5%
Oregon$144$9113236+27.1%
Washington$142$1,17173114+25.7%
Nebraska$142$7833486+25.2%
Texas$133$1,3472941,266+17.6%
Arizona$133$1,3961671,135+17.5%
Oklahoma$133$85090158+16.9%
Kentucky$132$92156128+16.2%
Illinois$130$1,379179340+14.3%
District of Columbia$129$1,2452333+13.8%
Mississippi$127$71753110+11.7%
Ohio$126$1,402113139+11.6%
Virginia$126$1,729119167+11.0%
Connecticut$126$1,9072229+10.8%
New Jersey$125$1,506147248+10.3%
Louisiana$121$902110267+7.1%
Tennessee$116$1,266164634+2.2%
New Mexico$113$1,0481114-0.0%
Pennsylvania$112$1,199164207-0.9%
North Carolina$111$1,327125257-2.0%
Arkansas$110$57796891-2.7%
Minnesota$109$9214411,880-3.5%
Massachusetts$106$1,00780191-6.5%
Kansas$106$694132390-6.7%
Wisconsin$103$1,367139166-9.6%
Indiana$102$88350147-9.7%
South Carolina$102$1,4423449-10.3%
New Hampshire$101$1,7943136-10.6%
West Virginia$97$1,7184781-14.3%
Missouri$97$911149271-14.3%
Maine$91$1,1521724-20.1%
Florida$90$1,0355163,313-20.9%
Alabama$86$94891176-23.8%
North Dakota$85$678130438-24.6%
Georgia$83$885151398-27.1%
Michigan$79$1,9803771,030-30.2%
South Dakota$66$1,15529174-42.1%

⚠️ 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