01810

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand

Medicare pricing data for 48,027 providers across 52 states

🤖AI Overview

This procedure has a 10.5x markup — hospitals charge $985.74 but Medicare allows only $93.67. Uninsured patients may face bills 10.5 times higher than what insurance negotiates. Prices vary significantly by location — from $67 in Alabama to $157 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 procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand (HCPCS code 01810) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $93.67, but hospitals typically charge $985.74 — a 10.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$18.73

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $93.67, your out-of-pocket cost would be approximately $18.73. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$93.67
Average Hospital Charge
$985.74
Markup Ratio
10.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$985.74
Medicare Allowed$93.67
Medicare Payment$73.30

Hospitals charge 10.5x more than what Medicare allows for this procedure. Medicare actually pays $73.30 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$157$1,17498529+67.6%
Puerto Rico$149$82535162+59.3%
California$137$1,0582,88312,894+46.4%
Wyoming$130$94467445+39.2%
Hawaii$129$78487244+37.5%
Utah$125$7343571,411+33.6%
Montana$123$774142655+30.9%
Idaho$122$7202281,205+30.1%
Nevada$121$1,0672721,334+29.5%
Oregon$120$8084732,012+28.1%
Washington$118$8081,0075,447+25.5%
Oklahoma$117$8795392,921+24.9%
Arizona$115$1,5417823,623+22.8%
Nebraska$115$7184001,887+22.2%
Iowa$114$7974892,051+22.1%
Maryland$111$1,0496524,255+18.9%
Indiana$111$8979153,855+18.7%
New Mexico$107$1,0082241,007+13.9%
Colorado$104$1,0537413,698+11.3%
Louisiana$104$9387763,143+11.0%
Arkansas$103$8664603,162+10.3%
Illinois$102$1,1991,7888,140+9.4%
Florida$102$1,1553,04715,653+8.9%
District of Columbia$101$1,051158705+8.1%
Kansas$99$7946493,414+6.1%
Kentucky$98$9898223,166+4.6%
Texas$97$1,4243,64717,281+3.5%
New York$95$1,3322,30712,279+1.3%
New Jersey$93$9281,0205,673-0.7%
New Hampshire$90$1,1473051,619-3.7%
Mississippi$90$5804402,650-4.0%
Missouri$90$8541,2696,181-4.1%
Wisconsin$89$1,3141,1153,948-5.3%
Tennessee$88$8711,3927,344-6.2%
Vermont$85$55391527-9.3%
Maine$85$8313071,203-9.6%
South Dakota$84$9092871,494-9.8%
West Virginia$84$8883691,285-10.6%
Georgia$83$9791,6048,148-11.5%
Massachusetts$82$6941,4419,288-12.0%
Minnesota$82$7881,1154,124-12.4%
Ohio$82$7372,23110,164-12.6%
Delaware$80$9991491,410-14.2%
Virginia$79$9811,2617,824-15.6%
Connecticut$77$8455593,299-18.1%
Michigan$76$9991,9049,043-18.9%
North Carolina$75$1,0351,8269,916-19.7%
Pennsylvania$73$7762,87215,048-22.4%
South Carolina$70$8821,0057,165-25.4%
North Dakota$68$6242441,556-27.1%
Rhode Island$67$5541561,276-28.6%
Alabama$67$6529635,546-28.6%

⚠️ 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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