01925

Anesthesia for x-ray on artery of neck or heart

Medicare pricing data for 11,238 providers across 51 states

🤖AI Overview

This procedure has a 10.8x markup — hospitals charge $2,604 but Medicare allows only $240.66. Uninsured patients may face bills 10.8 times higher than what insurance negotiates. Prices vary significantly by location — from $157 in Alabama to $467 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 on artery of neck or heart (HCPCS code 01925) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $240.66, but hospitals typically charge $2,604 — a 10.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$48.13

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $240.66, your out-of-pocket cost would be approximately $48.13. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$240.66
Average Hospital Charge
$2,604
Markup Ratio
10.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,604.36
Medicare Allowed$240.66
Medicare Payment$190.34

Hospitals charge 10.8x more than what Medicare allows for this procedure. Medicare actually pays $190.34 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$467$3,0162346+93.9%
California$338$2,7776471,109+40.5%
Utah$333$2,2935977+38.4%
Montana$327$2,0042130+36.1%
Oregon$300$2,067155224+24.5%
Massachusetts$299$2,442313606+24.3%
Vermont$295$2,3852230+22.7%
New York$295$4,6595191,321+22.5%
Arizona$292$3,490179325+21.2%
Puerto Rico$288$71727103+19.7%
Arkansas$287$1,445118247+19.4%
Idaho$287$2,0592235+19.1%
Illinois$286$3,269403589+19.0%
Colorado$285$2,449126165+18.6%
Washington$281$2,343289464+16.7%
Hawaii$277$2,4471115+14.9%
Indiana$276$2,305137202+14.8%
Nevada$271$2,6222846+12.5%
Oklahoma$269$2,280102223+11.9%
Iowa$269$2,00298155+11.6%
New Jersey$258$3,117293506+7.2%
Nebraska$254$1,65579143+5.5%
Rhode Island$249$2,5283156+3.4%
Maryland$247$2,668217393+2.8%
District of Columbia$244$2,0064470+1.6%
Florida$243$2,8281,0321,763+1.1%
New Mexico$240$2,7723454-0.2%
Connecticut$238$2,949168265-1.1%
Missouri$238$1,923259460-1.2%
Ohio$232$1,958352464-3.7%
Kentucky$231$2,162236469-4.0%
Tennessee$230$2,3323821,232-4.6%
New Hampshire$226$3,83193160-5.9%
Texas$225$3,0538231,307-6.6%
Kansas$218$1,40372117-9.2%
Delaware$215$2,3614998-10.6%
Wisconsin$213$3,355229327-11.4%
Virginia$210$2,573400694-12.5%
Michigan$202$2,230388647-15.9%
Louisiana$200$1,673156319-16.8%
Pennsylvania$198$1,9537281,133-17.9%
Minnesota$197$1,820180240-18.2%
Maine$196$2,3607194-18.5%
North Dakota$184$1,8985381-23.4%
North Carolina$182$2,405395703-24.4%
South Carolina$177$2,798257507-26.5%
Mississippi$176$1,43584132-26.9%
South Dakota$173$2,59262123-27.9%
Georgia$173$1,917380546-28.1%
West Virginia$170$1,736158319-29.4%
Alabama$157$1,897214484-34.9%

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