01710

Anesthesia for other procedures on nerves, muscles, tendons, and tissue of upper arm and elbow

Medicare pricing data for 15,701 providers across 51 states

🤖AI Overview

This procedure has a 10.3x markup — hospitals charge $1,204 but Medicare allows only $116.78. Uninsured patients may face bills 10.3 times higher than what insurance negotiates. Prices vary significantly by location — from $82 in Alabama to $203 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 procedures on nerves, muscles, tendons, and tissue of upper arm and elbow (HCPCS code 01710) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $116.78, but hospitals typically charge $1,204 — a 10.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$23.36

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $116.78, your out-of-pocket cost would be approximately $23.36. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$116.78
Average Hospital Charge
$1,204
Markup Ratio
10.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,203.57
Medicare Allowed$116.78
Medicare Payment$91.84

Hospitals charge 10.3x more than what Medicare allows for this procedure. Medicare actually pays $91.84 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$203$1,5313243+73.7%
California$169$1,4037571,010+44.8%
Wyoming$160$1,1823255+37.1%
Montana$158$92475125+35.6%
Idaho$154$9295273+31.8%
Washington$153$1,090308421+31.3%
Utah$150$870112165+28.9%
Oregon$148$937153212+26.7%
Nevada$143$1,14885167+22.7%
Oklahoma$141$1,085209323+20.7%
Arizona$140$1,605276409+20.2%
Iowa$140$969169245+19.6%
Maryland$137$1,277255426+17.2%
Colorado$135$1,294269435+15.4%
Indiana$132$1,146339500+12.8%
Nebraska$131$826174275+12.3%
District of Columbia$130$1,3634571+11.6%
Illinois$126$1,525584895+7.9%
New York$126$1,699674951+7.8%
New Mexico$126$1,16174109+7.5%
Hawaii$125$8031923+6.7%
Florida$124$1,3769661,382+6.2%
Kansas$122$872229339+4.2%
Louisiana$121$1,010255376+3.3%
New Jersey$121$1,226299427+3.2%
Arkansas$120$780183368+2.9%
Texas$119$1,6451,1581,659+1.5%
Missouri$115$991422639-1.7%
Kentucky$114$1,230254359-2.6%
Wisconsin$113$1,657365461-2.9%
New Hampshire$113$1,63698160-3.2%
Vermont$110$7343952-6.2%
Tennessee$109$1,088463712-6.7%
Ohio$107$9187441,055-8.7%
Massachusetts$106$875474712-9.5%
Mississippi$104$701168274-10.9%
Connecticut$103$1,197178233-11.7%
Michigan$103$1,246485634-11.9%
Maine$101$1,0706886-13.3%
West Virginia$100$1,191107143-14.3%
Virginia$100$1,193434704-14.7%
South Dakota$99$1,172128229-14.9%
North Dakota$99$77370113-14.9%
Minnesota$99$923413526-15.4%
Georgia$97$1,161578876-16.6%
North Carolina$94$1,277631972-19.1%
Pennsylvania$91$9289421,393-21.9%
South Carolina$89$1,116339605-23.6%
Rhode Island$89$7015075-23.8%
Delaware$83$1,13746104-29.2%
Alabama$82$912301438-29.9%

⚠️ 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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