01916

Anesthesia for x-ray exam of arteries and veins using contrast

Medicare pricing data for 20,749 providers across 51 states

🤖AI Overview

This procedure has a 12.2x markup — hospitals charge $2,211 but Medicare allows only $180.59. Uninsured patients may face bills 12.2 times higher than what insurance negotiates. Prices vary significantly by location — from $125 in South Carolina to $274 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 x-ray exam of arteries and veins using contrast (HCPCS code 01916) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $180.59, but hospitals typically charge $2,211 — a 12.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$36.12

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $180.59, your out-of-pocket cost would be approximately $36.12. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$180.59
Average Hospital Charge
$2,211
Markup Ratio
12.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,210.94
Medicare Allowed$180.59
Medicare Payment$142.40

Hospitals charge 12.2x more than what Medicare allows for this procedure. Medicare actually pays $142.40 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$274$1,5951114+51.7%
California$248$2,0431,2882,516+37.5%
Utah$243$1,653121163+34.5%
Montana$237$1,6792028+31.2%
Delaware$234$2,52182147+29.6%
Iowa$220$1,50881159+21.8%
Idaho$220$1,5425063+21.7%
New York$220$4,2811,6776,041+21.6%
Oregon$219$1,585146197+21.5%
Massachusetts$214$1,7055841,338+18.5%
Arkansas$207$1,493101203+14.7%
New Mexico$207$2,24071116+14.4%
Illinois$206$2,3537661,329+14.3%
Nebraska$205$1,337119256+13.5%
New Hampshire$204$2,873117208+12.7%
Washington$202$1,789324515+12.0%
Arizona$201$2,349331681+11.1%
Puerto Rico$199$7762264+10.4%
Hawaii$197$1,3184184+8.9%
Maryland$195$1,793415982+8.0%
Connecticut$193$2,263330737+6.8%
Louisiana$192$1,685291643+6.5%
Colorado$192$2,000354605+6.2%
Vermont$190$1,3682032+5.3%
Oklahoma$187$1,925111250+3.6%
Nevada$184$1,57059259+2.1%
Rhode Island$182$1,7463451+1.0%
Florida$178$2,1221,6803,454-1.4%
Indiana$177$1,412181320-2.0%
Texas$176$2,4921,6894,470-2.7%
Wisconsin$176$2,563274364-2.8%
New Jersey$173$2,4467162,137-4.3%
Kentucky$172$1,765337716-4.6%
Minnesota$171$1,510366607-5.5%
Missouri$168$1,500498950-7.0%
District of Columbia$161$1,239155480-10.9%
Virginia$159$2,006477853-11.7%
Kansas$159$1,169211386-12.1%
Maine$158$1,802109174-12.3%
Ohio$157$1,5577591,428-13.0%
Tennessee$157$1,6547291,850-13.1%
Michigan$156$2,4718661,803-13.6%
Alabama$149$1,0984141,472-17.4%
Georgia$146$1,4707331,647-19.2%
Pennsylvania$145$1,6961,3853,745-19.5%
North Carolina$144$1,7806891,347-20.0%
Mississippi$141$904136289-21.7%
North Dakota$138$1,1915583-23.5%
West Virginia$136$1,710162311-24.8%
South Dakota$136$1,4073958-24.9%
South Carolina$125$1,5694801,120-30.8%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber