01922

Anesthesia for x-ray or radiation therapy

Medicare pricing data for 51,856 providers across 52 states

🤖AI Overview

This procedure has a 11.0x markup — hospitals charge $1,624 but Medicare allows only $148.06. Uninsured patients may face bills 11.0 times higher than what insurance negotiates. Prices vary significantly by location — from $104 in South Dakota to $257 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 or radiation therapy (HCPCS code 01922) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $148.06, but hospitals typically charge $1,624 — a 11.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$29.61

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $148.06, your out-of-pocket cost would be approximately $29.61. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$148.06
Average Hospital Charge
$1,624
Markup Ratio
11.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,624.47
Medicare Allowed$148.06
Medicare Payment$116.61

Hospitals charge 11.0x more than what Medicare allows for this procedure. Medicare actually pays $116.61 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$257$1,58874343+73.8%
California$209$1,6623,05214,783+40.9%
Utah$205$1,2582921,233+38.4%
Montana$201$1,089150773+35.8%
Oregon$194$1,2885352,116+30.7%
Wyoming$193$1,45255259+30.5%
Idaho$188$1,341136538+27.1%
New York$188$2,6572,91420,372+27.0%
Nevada$184$2,0962991,679+23.9%
Washington$183$1,4369933,753+23.9%
Hawaii$180$1,16377346+21.4%
Iowa$176$1,2793481,510+18.6%
Nebraska$171$1,0334322,787+15.4%
Oklahoma$171$1,5033711,730+15.2%
Arkansas$168$1,0343281,364+13.7%
Arizona$168$1,8798754,803+13.6%
Maryland$168$1,7117823,509+13.3%
Vermont$164$1,37563179+10.8%
Colorado$164$1,5668903,501+10.8%
Puerto Rico$163$1,75041267+10.2%
Indiana$163$1,3508704,140+9.8%
Illinois$161$1,8652,06311,330+9.0%
New Jersey$160$1,8241,36810,427+7.9%
Massachusetts$160$1,3441,4308,332+7.8%
Minnesota$159$1,4509983,033+7.7%
Delaware$159$1,5561901,133+7.6%
District of Columbia$158$1,471197647+6.8%
New Mexico$152$1,625168560+2.5%
Florida$149$1,7634,36829,506+0.7%
Connecticut$146$1,8577793,937-1.4%
Ohio$145$1,2852,2498,659-2.1%
Wisconsin$145$2,0851,1675,169-2.2%
Kentucky$144$1,5107033,007-2.8%
Texas$140$1,8353,93923,123-5.6%
Virginia$137$1,6101,2667,128-7.5%
Missouri$136$1,2391,2956,797-8.2%
New Hampshire$133$2,1663492,631-10.0%
Louisiana$132$9727744,521-10.5%
Tennessee$130$1,4731,56611,231-12.1%
Rhode Island$130$1,139154700-12.5%
North Dakota$129$1,0262451,880-13.0%
Michigan$125$1,8032,32115,103-15.5%
North Carolina$123$1,4881,6998,543-17.0%
Kansas$120$7265984,213-18.9%
Pennsylvania$118$1,2753,42020,665-20.3%
Alabama$116$1,2167544,226-21.4%
Mississippi$115$9152991,534-22.0%
West Virginia$114$1,2873931,891-23.2%
Maine$112$1,2983832,025-24.4%
Georgia$111$1,2651,6988,491-25.0%
South Carolina$111$1,3071,1408,467-25.2%
South Dakota$104$1,2192521,751-30.1%

⚠️ 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