00520

Anesthesia for other closed procedure on chest

Medicare pricing data for 44,846 providers across 52 states

🤖AI Overview

This procedure has a 10.6x markup — hospitals charge $1,648 but Medicare allows only $155.53. Uninsured patients may face bills 10.6 times higher than what insurance negotiates. Prices vary significantly by location — from $114 in South Dakota to $317 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 closed procedure on chest (HCPCS code 00520) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $155.53, but hospitals typically charge $1,648 — a 10.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$31.11

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $155.53, your out-of-pocket cost would be approximately $31.11. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$155.53
Average Hospital Charge
$1,648
Markup Ratio
10.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,648.21
Medicare Allowed$155.53
Medicare Payment$123.06

Hospitals charge 10.6x more than what Medicare allows for this procedure. Medicare actually pays $123.06 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$317$1,87980194+103.6%
Montana$225$1,250108238+44.7%
California$210$1,6702,4119,026+34.7%
Utah$204$1,293249634+31.2%
Oregon$203$1,336381997+30.5%
Iowa$197$1,386315917+26.4%
Massachusetts$193$1,5161,2734,787+24.1%
Puerto Rico$192$2,19730110+23.7%
Idaho$192$1,348116286+23.6%
Nevada$187$2,040250723+20.5%
Nebraska$185$1,1193711,286+19.0%
Washington$185$1,3698192,479+18.9%
Hawaii$183$1,20276322+17.8%
New York$180$2,2272,4159,581+15.7%
Oklahoma$179$1,6153671,312+14.9%
New Mexico$176$1,686142343+13.4%
Wyoming$175$1,5343680+12.8%
Colorado$175$1,6216301,881+12.2%
Arkansas$172$1,1283241,048+10.7%
Vermont$172$1,14784210+10.7%
Maryland$172$1,7197192,881+10.4%
Indiana$172$1,5169523,598+10.4%
Illinois$166$1,9361,8627,378+6.6%
Arizona$164$2,4908484,668+5.2%
Delaware$162$1,526159924+4.0%
New Jersey$161$1,8911,0693,585+3.6%
District of Columbia$161$1,389208879+3.3%
Louisiana$157$1,1416562,017+1.2%
Connecticut$156$1,9536202,047+0.2%
Florida$155$1,7973,35113,678-0.1%
Texas$150$1,8683,37511,951-3.9%
Tennessee$149$1,6081,3935,747-4.3%
New Hampshire$148$2,466270897-4.7%
Rhode Island$147$1,308130339-5.7%
Wisconsin$146$2,1569602,866-5.9%
Kentucky$146$1,7888693,612-6.1%
Virginia$146$1,7121,1334,209-6.2%
Maine$145$1,299238661-6.5%
Kansas$145$9135812,455-7.0%
Ohio$144$1,2342,0497,436-7.2%
Missouri$144$1,2009832,967-7.3%
Minnesota$143$1,3029472,771-8.1%
Pennsylvania$136$1,2772,88610,605-12.5%
Michigan$135$1,9001,8626,034-13.5%
Mississippi$133$9043881,742-14.7%
North Dakota$129$1,093213759-17.2%
West Virginia$124$1,4933511,297-20.1%
Georgia$122$1,3931,6796,110-21.5%
Alabama$120$1,3807232,347-23.1%
North Carolina$118$1,5181,6606,561-24.0%
South Carolina$116$1,5379944,228-25.6%
South Dakota$114$1,397194710-26.7%

⚠️ 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