01939

Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance

Medicare pricing data for 4,783 providers across 47 states

🤖AI Overview

This procedure has a 14.1x markup — hospitals charge $1,478 but Medicare allows only $105.14. Uninsured patients may face bills 14.1 times higher than what insurance negotiates. Prices vary significantly by location — from $64 in Rhode Island to $138 in Puerto Rico. 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 nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance (HCPCS code 01939) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $105.14, but hospitals typically charge $1,478 — a 14.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$21.03

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $105.14, your out-of-pocket cost would be approximately $21.03. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$105.14
Average Hospital Charge
$1,478
Markup Ratio
14.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,477.52
Medicare Allowed$105.14
Medicare Payment$82.20

Hospitals charge 14.1x more than what Medicare allows for this procedure. Medicare actually pays $82.20 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$138$1,438516+31.5%
Utah$130$1,2402440+23.8%
Washington$124$1,56332117+18.0%
District of Columbia$124$1,054822+17.6%
California$122$1,3823201,460+15.7%
Oregon$116$1,4912280+10.5%
Maryland$115$1,31872235+9.8%
Virginia$115$1,33239147+9.5%
Colorado$114$1,12669295+8.2%
Florida$113$1,6344892,154+7.2%
New Hampshire$113$631833+7.1%
Georgia$112$1,9131931,323+6.8%
Hawaii$110$2,9897159+4.7%
Louisiana$110$1,026154660+4.3%
South Carolina$109$9791746+4.1%
Iowa$109$1,4271763+3.9%
New York$109$1,761288757+3.8%
Nevada$109$1,31622119+3.7%
Indiana$108$86663199+3.0%
Arkansas$108$69741316+2.5%
Mississippi$107$47638226+1.9%
Massachusetts$107$1,69688250+1.8%
Oklahoma$107$1,10328113+1.7%
New Mexico$107$9041337+1.4%
Delaware$106$1,2942249+0.8%
Idaho$105$4581766-0.6%
New Jersey$104$1,356197490-0.6%
Nebraska$104$2,60129242-0.9%
Arizona$104$2,3851631,309-0.9%
Tennessee$104$1,071118666-1.2%
North Carolina$104$1,00847173-1.5%
Michigan$103$1,374144645-1.7%
Missouri$101$78858130-3.6%
Kentucky$101$1,12953459-4.2%
Texas$100$1,7727843,258-5.2%
Illinois$99$894253717-5.4%
Minnesota$98$1,31770335-6.4%
Kansas$98$9883574-6.7%
Wisconsin$94$1,40248142-10.9%
Maine$89$9472266-15.5%
Connecticut$89$1,02485212-15.8%
West Virginia$88$7471625-16.7%
Alabama$86$734128449-18.2%
Pennsylvania$84$1,017214483-19.8%
Ohio$79$564148455-24.5%
South Dakota$64$5202859-38.8%
Rhode Island$64$5171745-38.9%

⚠️ 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