Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes
Medicare pricing data for 4,420 providers across 49 states
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
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS code 99153) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.03, but hospitals typically charge $52.41 — a 4.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $11.03, your out-of-pocket cost would be approximately $2.21. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.8x more than what Medicare allows for this procedure. Medicare actually pays $8.79 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $13 | $27 | 5 | 359 | +21.2% |
| New York | $13 | $58 | 214 | 10,737 | +18.4% |
| New Jersey | $13 | $85 | 83 | 4,119 | +17.0% |
| California | $13 | $47 | 361 | 28,989 | +13.7% |
| Maryland | $12 | $26 | 90 | 9,271 | +13.1% |
| Hawaii | $12 | $32 | 7 | 546 | +10.7% |
| Connecticut | $12 | $55 | 46 | 2,713 | +10.4% |
| Alaska | $12 | $99 | 23 | 722 | +6.3% |
| Virginia | $12 | $46 | 147 | 9,390 | +5.4% |
| Rhode Island | $11 | $47 | 4 | 109 | +3.4% |
| New Hampshire | $11 | $55 | 5 | 31 | +3.3% |
| Washington | $11 | $60 | 81 | 3,216 | +3.2% |
| Massachusetts | $11 | $40 | 48 | 4,257 | +2.6% |
| Pennsylvania | $11 | $40 | 82 | 3,164 | +2.6% |
| Colorado | $11 | $43 | 200 | 6,504 | +1.9% |
| Delaware | $11 | $37 | 29 | 1,791 | +1.5% |
| Illinois | $11 | $267 | 119 | 6,148 | +0.6% |
| Florida | $11 | $41 | 425 | 32,298 | +0.3% |
| Minnesota | $11 | $45 | 66 | 1,441 | -0.5% |
| Nevada | $11 | $32 | 27 | 982 | -0.8% |
| Montana | $11 | $78 | 5 | 28 | -1.7% |
| Puerto Rico | $11 | $56 | 44 | 596 | -3.0% |
| West Virginia | $11 | $66 | 3 | 50 | -3.2% |
| Oregon | $11 | $33 | 45 | 2,198 | -3.7% |
| Michigan | $11 | $52 | 196 | 12,198 | -4.2% |
| South Dakota | $11 | $43 | 15 | 3,653 | -4.6% |
| Arizona | $10 | $32 | 184 | 18,563 | -5.3% |
| Ohio | $10 | $45 | 70 | 2,268 | -5.4% |
| Texas | $10 | $63 | 561 | 28,801 | -5.5% |
| Missouri | $10 | $38 | 51 | 1,490 | -5.6% |
| Georgia | $10 | $56 | 145 | 5,637 | -7.6% |
| North Carolina | $10 | $32 | 105 | 4,494 | -8.5% |
| Wisconsin | $10 | $48 | 26 | 1,086 | -9.2% |
| Idaho | $10 | $46 | 28 | 505 | -9.3% |
| South Carolina | $10 | $75 | 67 | 2,668 | -9.7% |
| New Mexico | $10 | $46 | 44 | 1,491 | -10.0% |
| Utah | $10 | $34 | 98 | 4,216 | -10.4% |
| Louisiana | $10 | $55 | 123 | 4,049 | -10.5% |
| Indiana | $10 | $29 | 47 | 2,216 | -10.8% |
| Kentucky | $10 | $31 | 27 | 1,993 | -10.8% |
| North Dakota | $10 | $236 | 5 | 36 | -10.8% |
| Kansas | $10 | $37 | 25 | 1,496 | -11.1% |
| Iowa | $10 | $63 | 21 | 1,047 | -11.4% |
| Nebraska | $10 | $70 | 21 | 499 | -12.1% |
| Alabama | $10 | $41 | 68 | 2,666 | -13.0% |
| Oklahoma | $10 | $43 | 57 | 2,937 | -13.2% |
| Tennessee | $9 | $35 | 115 | 4,766 | -14.5% |
| Mississippi | $9 | $79 | 59 | 4,811 | -16.0% |
| Arkansas | $9 | $23 | 49 | 3,552 | -17.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber