01830

Anesthesia for other procedure on forearm, wrist, or hand bones

Medicare pricing data for 41,630 providers across 52 states

🤖AI Overview

This procedure has a 10.2x markup — hospitals charge $1,374 but Medicare allows only $134.13. Uninsured patients may face bills 10.2 times higher than what insurance negotiates. Prices vary significantly by location — from $95 in Alabama to $233 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 forearm, wrist, or hand bones (HCPCS code 01830) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $134.13, but hospitals typically charge $1,374 — a 10.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.83

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $134.13, your out-of-pocket cost would be approximately $26.83. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$134.13
Average Hospital Charge
$1,374
Markup Ratio
10.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,374.15
Medicare Allowed$134.13
Medicare Payment$105.26

Hospitals charge 10.2x more than what Medicare allows for this procedure. Medicare actually pays $105.26 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$233$1,50598346+73.4%
Puerto Rico$217$1,2914377+61.6%
California$194$1,4822,6477,149+44.7%
Wyoming$180$1,38169249+34.4%
Utah$177$1,069322884+32.2%
Washington$175$1,2178562,359+30.5%
Nevada$175$1,550249633+30.5%
Hawaii$173$1,07372154+28.8%
Idaho$172$1,025198535+28.5%
Montana$170$996143460+27.0%
Oregon$169$1,1014111,155+25.7%
Iowa$162$1,0854051,076+20.7%
Maryland$161$1,5215871,978+20.1%
Oklahoma$160$1,2365111,376+19.5%
Arizona$156$1,9207572,489+16.6%
Nebraska$156$952330865+16.2%
Indiana$148$1,2147862,200+10.5%
Colorado$147$1,4286992,123+9.3%
New York$146$1,8911,8654,760+9.1%
Illinois$146$1,7211,5173,969+9.1%
Florida$146$1,6212,7747,669+8.7%
Louisiana$145$1,2296571,591+7.9%
New Mexico$144$1,383211610+7.6%
New Jersey$142$1,4538301,941+5.8%
Kansas$141$1,0525231,308+5.3%
Arkansas$140$9474091,513+4.3%
District of Columbia$137$1,445147429+2.5%
Texas$132$1,8393,1438,093-1.3%
Kentucky$130$1,3086991,811-2.8%
Tennessee$125$1,2611,1883,474-6.9%
New Hampshire$123$1,621239677-8.1%
Missouri$123$1,0821,0852,665-8.3%
Vermont$123$80069195-8.5%
Wisconsin$122$1,8599792,141-9.4%
Massachusetts$121$1,0111,2193,697-9.7%
Mississippi$121$8224221,207-9.8%
Ohio$119$1,0621,7714,453-11.1%
West Virginia$119$1,387298578-11.4%
Maine$117$1,221276587-12.6%
Delaware$117$1,362148536-12.7%
South Dakota$116$1,189250762-13.4%
Michigan$115$1,4331,4953,399-14.5%
Minnesota$110$1,0451,0412,568-17.9%
Virginia$110$1,3421,1704,214-17.9%
Georgia$109$1,2401,4393,917-18.6%
Connecticut$108$1,1974601,498-19.2%
Rhode Island$106$909127411-20.9%
Pennsylvania$106$1,1202,3126,288-21.2%
North Carolina$105$1,4241,6525,097-21.8%
South Carolina$99$1,2989353,392-25.9%
North Dakota$99$913215749-26.1%
Alabama$95$9618132,352-28.9%

⚠️ 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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