01991

Anesthesia for nerve block and injection

Medicare pricing data for 7,495 providers across 48 states

🤖AI Overview

This procedure has a 13.3x markup — hospitals charge $1,060 but Medicare allows only $79.83. Uninsured patients may face bills 13.3 times higher than what insurance negotiates. Prices vary significantly by location — from $52 in Alabama to $111 in Washington. 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 block and injection (HCPCS code 01991) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $79.83, but hospitals typically charge $1,060 — a 13.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$15.97

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $79.83, your out-of-pocket cost would be approximately $15.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$79.83
Average Hospital Charge
$1,060
Markup Ratio
13.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,059.97
Medicare Allowed$79.83
Medicare Payment$62.34

Hospitals charge 13.3x more than what Medicare allows for this procedure. Medicare actually pays $62.34 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Washington$111$1,02261115+39.4%
Oregon$108$1,22745104+35.6%
New Hampshire$108$6343185+34.8%
California$102$1,0304841,389+28.0%
Alaska$102$654613+27.8%
Idaho$102$6111636+27.3%
Maine$98$8612646+22.9%
District of Columbia$97$8083966+21.9%
Virginia$95$1,34771142+19.0%
New Mexico$93$7571635+16.9%
Maryland$92$1,336126384+15.9%
Nevada$90$1,31633128+12.7%
Nebraska$90$1,5923176+12.6%
Iowa$89$1,3452556+11.9%
South Carolina$88$1,1993862+10.3%
New York$87$1,7696902,209+8.5%
Illinois$86$8093871,319+8.3%
Tennessee$86$730146387+7.5%
Florida$84$9225501,413+5.5%
Hawaii$84$2,145873+5.5%
Mississippi$83$47967263+4.2%
Colorado$83$96679212+4.0%
Arkansas$82$62956211+3.1%
Vermont$82$454734+2.5%
Kentucky$82$1,01765209+2.4%
Oklahoma$82$92662191+2.3%
New Jersey$80$969320721+0.5%
North Carolina$79$91298223-1.3%
Arizona$78$2,2071781,007-1.9%
Georgia$78$911263596-1.9%
Kansas$78$6794678-2.0%
Delaware$77$8062464-3.3%
Minnesota$77$912161425-3.9%
Texas$76$1,1581,0103,463-4.2%
Louisiana$76$873173643-5.2%
Wisconsin$75$1,109127273-5.5%
Utah$75$5541950-6.2%
Massachusetts$74$870226704-7.0%
Missouri$73$494123316-9.0%
Connecticut$71$946138273-11.2%
Indiana$70$62590236-12.6%
Michigan$68$978261578-15.1%
Pennsylvania$66$6804561,007-17.0%
Ohio$62$507269867-21.8%
West Virginia$58$48453104-27.4%
South Dakota$55$3971315-30.8%
Rhode Island$53$4262485-33.9%
Alabama$52$471216674-34.5%

⚠️ 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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