00400

Anesthesia for other procedure on skin of arms, legs, and front body

Medicare pricing data for 72,959 providers across 52 states

🤖AI Overview

This procedure has a 10.7x markup — hospitals charge $1,241 but Medicare allows only $115.88. Uninsured patients may face bills 10.7 times higher than what insurance negotiates. Prices vary significantly by location — from $86 in Alabama to $215 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 other procedure on skin of arms, legs, and front body (HCPCS code 00400) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $115.88, but hospitals typically charge $1,241 — a 10.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$23.18

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $115.88, your out-of-pocket cost would be approximately $23.18. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$115.88
Average Hospital Charge
$1,241
Markup Ratio
10.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,241.47
Medicare Allowed$115.88
Medicare Payment$91.09

Hospitals charge 10.7x more than what Medicare allows for this procedure. Medicare actually pays $91.09 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$215$1,420129462+85.9%
Puerto Rico$168$1,14176239+44.7%
California$163$1,3174,47616,655+40.9%
Montana$162$1,012184718+40.0%
Utah$160$1,1174481,162+37.7%
Idaho$151$1,070269823+30.7%
Wyoming$151$1,17882348+30.2%
Hawaii$147$1,046141519+27.0%
Iowa$146$1,0085501,918+26.1%
Oregon$145$1,0006561,918+24.7%
Nevada$143$1,4343571,405+23.7%
Washington$142$1,0791,3654,065+22.8%
Maryland$136$1,3251,1905,913+17.8%
Nebraska$136$8755552,101+17.3%
New Mexico$136$1,2483331,001+17.3%
Arkansas$132$8695942,486+14.0%
Arizona$132$1,6111,2704,913+13.9%
Oklahoma$129$1,1437313,013+10.9%
New York$128$1,7044,04817,773+10.8%
Colorado$127$1,2611,0963,547+9.5%
Delaware$126$1,2052431,234+9.0%
Indiana$124$1,1311,2894,717+7.4%
District of Columbia$121$1,0673031,387+4.7%
Massachusetts$120$1,0051,9819,298+3.8%
New Jersey$119$1,4511,7247,560+2.9%
Illinois$119$1,4572,61710,742+2.4%
Florida$119$1,3505,26819,998+2.3%
Louisiana$118$9241,1654,346+2.2%
Texas$117$1,5555,74619,845+0.7%
Kentucky$114$1,1421,1854,532-1.8%
Kansas$113$7578593,359-2.6%
Missouri$112$9341,8217,037-3.4%
Connecticut$109$1,3331,0093,532-5.7%
Ohio$109$9793,36010,927-6.0%
Vermont$109$775124406-6.1%
Tennessee$108$1,1202,1608,429-6.8%
Rhode Island$107$941193748-7.8%
Wisconsin$106$1,6001,4534,945-8.4%
New Hampshire$103$1,6804142,217-11.0%
North Dakota$102$9912851,108-12.2%
Virginia$102$1,2581,9289,004-12.3%
Minnesota$100$9491,8275,585-13.6%
Maine$99$1,1374741,428-14.9%
Georgia$97$1,1032,60010,094-16.3%
Pennsylvania$97$1,0494,28716,571-16.4%
Michigan$96$1,4262,82510,262-17.4%
Mississippi$93$6766804,046-19.4%
North Carolina$93$1,2292,71510,688-20.1%
West Virginia$92$1,0365532,384-20.6%
South Dakota$89$8923131,275-23.1%
South Carolina$87$1,2441,4916,832-24.6%
Alabama$86$8591,4436,506-25.8%

⚠️ 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