00214

Anesthesia for procedure to create holes in skull including x-ray imaging

Medicare pricing data for 5,596 providers across 49 states

🤖AI Overview

This procedure has a 10.0x markup — hospitals charge $2,533 but Medicare allows only $254.22. Uninsured patients may face bills 10.0 times higher than what insurance negotiates. Prices vary significantly by location — from $176 in Maine to $433 in Alaska. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 procedure to create holes in skull including x-ray imaging (HCPCS code 00214) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $254.22, but hospitals typically charge $2,533 — a 10.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$50.84

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $254.22, your out-of-pocket cost would be approximately $50.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$254.22
Average Hospital Charge
$2,533
Markup Ratio
10.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,533.29
Medicare Allowed$254.22
Medicare Payment$201.47

Hospitals charge 10.0x more than what Medicare allows for this procedure. Medicare actually pays $201.47 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$433$2,5511315+70.4%
California$368$2,729394479+44.7%
Montana$330$1,8893950+30.0%
Idaho$328$2,1742732+29.1%
Delaware$319$2,6421419+25.5%
District of Columbia$315$2,3971720+24.1%
Oklahoma$315$2,0473135+24.1%
New York$315$3,890259318+23.9%
Oregon$312$1,9975761+22.9%
Utah$310$1,8705663+21.9%
Massachusetts$310$2,376118141+21.9%
Arkansas$305$1,6703864+20.0%
Illinois$301$3,528234299+18.3%
New Hampshire$295$4,3231819+16.1%
Nevada$294$2,8722936+15.7%
Nebraska$293$2,1916480+15.4%
Iowa$293$1,72882106+15.3%
Hawaii$291$1,9411724+14.5%
New Jersey$284$3,413122140+11.8%
Washington$279$2,255129159+9.9%
Arizona$274$2,7507388+7.6%
Louisiana$267$2,3274042+5.2%
Maryland$260$2,418111150+2.3%
Connecticut$260$3,3455867+2.2%
Rhode Island$259$1,8111620+2.0%
New Mexico$258$2,2465264+1.6%
Kentucky$252$2,6028095-0.7%
Tennessee$252$2,608168196-1.0%
Kansas$249$1,5215870-2.2%
Colorado$248$2,512106121-2.5%
Indiana$245$2,154103122-3.5%
Texas$239$2,569367433-6.0%
Florida$235$2,660469565-7.6%
West Virginia$234$3,2192731-7.8%
Ohio$223$2,070214258-12.3%
Virginia$221$3,054180223-13.0%
Pennsylvania$218$2,301284336-14.1%
Michigan$217$2,700225255-14.6%
North Carolina$215$2,486132153-15.2%
Wisconsin$206$3,263129155-18.9%
North Dakota$197$1,9214348-22.5%
South Carolina$196$2,457105130-22.7%
Missouri$196$1,682178210-22.9%
Georgia$190$2,090197241-25.2%
South Dakota$188$2,9943648-25.9%
Alabama$181$1,820102115-28.9%
Minnesota$178$1,615170190-29.9%
Mississippi$176$1,2805983-30.7%
Maine$176$2,1173640-30.9%

⚠️ 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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