01844

Anesthesia for placement or revision of blood flow shunt

Medicare pricing data for 34,380 providers across 52 states

🤖AI Overview

This procedure has a 10.5x markup — hospitals charge $2,093 but Medicare allows only $200.13. Uninsured patients may face bills 10.5 times higher than what insurance negotiates. Prices vary significantly by location — from $130 in South Carolina to $381 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 placement or revision of blood flow shunt (HCPCS code 01844) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $200.13, but hospitals typically charge $2,093 — a 10.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$40.03

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $200.13, your out-of-pocket cost would be approximately $40.03. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$200.13
Average Hospital Charge
$2,093
Markup Ratio
10.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,092.93
Medicare Allowed$200.13
Medicare Payment$157.80

Hospitals charge 10.5x more than what Medicare allows for this procedure. Medicare actually pays $157.80 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$381$2,21751106+90.4%
Montana$282$1,58782170+40.9%
California$279$2,1342,5678,275+39.3%
Utah$277$1,740194433+38.4%
Puerto Rico$273$1,72043145+36.4%
Oregon$271$1,787344707+35.5%
Wyoming$262$2,2472861+30.7%
Idaho$259$1,67175161+29.3%
Iowa$246$1,931198405+23.0%
Arkansas$245$1,567251613+22.5%
Delaware$244$2,465135314+21.8%
New Mexico$237$2,109134342+18.7%
Washington$237$1,7886121,394+18.2%
New York$233$3,2872,0486,773+16.2%
Indiana$232$1,8215851,439+15.8%
Nebraska$228$1,416179482+14.0%
Arizona$227$2,238356835+13.4%
Oklahoma$223$2,365302991+11.4%
Florida$222$2,5002,5276,622+11.1%
Louisiana$222$1,4135791,607+10.7%
Colorado$221$2,076408695+10.4%
Illinois$218$2,2881,2343,602+8.8%
New Jersey$216$2,7449262,829+8.0%
Hawaii$214$1,43087407+7.0%
Maryland$213$2,1856733,002+6.6%
Kansas$205$1,372342812+2.3%
Massachusetts$204$1,7289842,433+1.7%
Missouri$202$1,7018212,145+0.9%
New Hampshire$201$2,801191382+0.3%
Nevada$200$1,6621861,062-0.2%
Wisconsin$199$3,0086561,278-0.5%
Connecticut$198$2,0224671,333-0.9%
Texas$196$2,4762,6819,329-2.3%
Ohio$194$1,8571,3092,862-3.0%
Kentucky$193$2,0124881,206-3.5%
North Dakota$178$1,457152335-11.0%
Michigan$177$2,4951,3733,860-11.4%
Mississippi$177$1,1683651,468-11.6%
Rhode Island$176$1,73691266-11.9%
Pennsylvania$175$2,0602,0055,551-12.5%
Vermont$174$1,5044274-13.0%
Minnesota$174$1,6955671,016-13.2%
West Virginia$174$1,832228533-13.2%
Maine$173$2,064165450-13.3%
Tennessee$168$1,7561,0133,672-16.2%
Virginia$165$1,9489393,508-17.7%
Georgia$163$1,7321,5335,188-18.4%
District of Columbia$161$1,1251731,424-19.5%
North Carolina$153$1,8121,2744,648-23.7%
South Dakota$148$1,706147436-25.9%
Alabama$144$1,2057383,411-28.1%
South Carolina$130$1,7397744,062-35.3%

⚠️ 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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