Anesthesia for other procedure on top of arm bone and shoulder joint
Medicare pricing data for 40,188 providers across 52 states
This procedure has a 10.1x markup — hospitals charge $1,878 but Medicare allows only $186.79. Uninsured patients may face bills 10.1 times higher than what insurance negotiates. Prices vary significantly by location — from $129 in Alabama to $319 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 top of arm bone and shoulder joint (HCPCS code 01630) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $186.79, but hospitals typically charge $1,878 — 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 $186.79, your out-of-pocket cost would be approximately $37.36. 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 $147.06 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $319 | $2,293 | 85 | 265 | +70.8% |
| Puerto Rico | $308 | $837 | 39 | 90 | +65.1% |
| California | $268 | $2,080 | 2,407 | 7,589 | +43.2% |
| Wyoming | $251 | $1,932 | 63 | 252 | +34.2% |
| Idaho | $248 | $1,478 | 199 | 559 | +33.0% |
| Washington | $240 | $1,563 | 769 | 2,257 | +28.4% |
| Hawaii | $235 | $1,679 | 95 | 304 | +25.8% |
| Utah | $235 | $1,322 | 355 | 1,121 | +25.7% |
| Oregon | $234 | $1,465 | 361 | 1,133 | +25.4% |
| Arizona | $232 | $2,664 | 634 | 2,047 | +24.5% |
| New Mexico | $230 | $2,062 | 163 | 406 | +23.3% |
| Montana | $229 | $1,401 | 150 | 621 | +22.7% |
| Oklahoma | $224 | $1,646 | 503 | 1,894 | +20.0% |
| Nevada | $220 | $2,074 | 246 | 992 | +17.9% |
| Nebraska | $215 | $1,285 | 278 | 899 | +15.1% |
| Maryland | $215 | $1,938 | 594 | 2,181 | +15.0% |
| Arkansas | $213 | $1,467 | 413 | 1,620 | +13.8% |
| Iowa | $212 | $1,371 | 393 | 1,103 | +13.3% |
| New Jersey | $210 | $2,372 | 849 | 2,216 | +12.6% |
| Colorado | $210 | $2,000 | 643 | 2,034 | +12.2% |
| Illinois | $209 | $2,397 | 1,495 | 4,131 | +12.1% |
| Indiana | $209 | $1,660 | 781 | 2,212 | +12.1% |
| Louisiana | $206 | $1,780 | 665 | 1,817 | +10.3% |
| New York | $200 | $2,697 | 1,907 | 5,784 | +6.8% |
| Florida | $199 | $2,180 | 2,687 | 8,036 | +6.4% |
| New Hampshire | $194 | $2,243 | 259 | 708 | +3.7% |
| Kansas | $193 | $1,348 | 544 | 1,701 | +3.5% |
| Vermont | $192 | $1,320 | 65 | 169 | +2.9% |
| Texas | $190 | $2,504 | 2,999 | 9,002 | +1.6% |
| District of Columbia | $181 | $2,025 | 126 | 346 | -3.0% |
| Missouri | $180 | $1,561 | 1,020 | 3,009 | -3.9% |
| Massachusetts | $177 | $1,446 | 1,140 | 3,817 | -5.5% |
| Tennessee | $175 | $1,695 | 1,224 | 4,051 | -6.3% |
| Kentucky | $175 | $1,589 | 622 | 1,716 | -6.5% |
| Wisconsin | $174 | $2,526 | 861 | 2,055 | -6.7% |
| Delaware | $170 | $1,909 | 155 | 468 | -8.9% |
| Connecticut | $166 | $1,916 | 443 | 1,310 | -11.1% |
| Mississippi | $166 | $1,035 | 386 | 1,656 | -11.2% |
| Ohio | $162 | $1,430 | 1,740 | 5,026 | -13.2% |
| North Dakota | $159 | $1,269 | 198 | 621 | -15.1% |
| Rhode Island | $158 | $1,220 | 108 | 319 | -15.5% |
| Virginia | $156 | $1,880 | 1,103 | 4,217 | -16.5% |
| West Virginia | $154 | $1,404 | 247 | 666 | -17.5% |
| Minnesota | $154 | $1,442 | 946 | 2,195 | -17.7% |
| Maine | $154 | $1,631 | 297 | 704 | -17.7% |
| South Dakota | $151 | $1,526 | 238 | 855 | -19.2% |
| Michigan | $150 | $1,855 | 1,484 | 4,063 | -19.6% |
| Pennsylvania | $150 | $1,510 | 2,195 | 6,215 | -19.8% |
| Georgia | $147 | $1,664 | 1,556 | 4,886 | -21.5% |
| South Carolina | $145 | $1,906 | 897 | 3,655 | -22.4% |
| North Carolina | $143 | $1,919 | 1,581 | 5,718 | -23.4% |
| Alabama | $129 | $1,176 | 893 | 3,549 | -31.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber