00537

Anesthesia for procedure to assess heart electrical activity

Medicare pricing data for 31,439 providers across 52 states

🤖AI Overview

This procedure has a 10.1x markup — hospitals charge $3,153 but Medicare allows only $313.57. Uninsured patients may face bills 10.1 times higher than what insurance negotiates. Prices vary significantly by location — from $204 in South Dakota to $562 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 procedure to assess heart electrical activity (HCPCS code 00537) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $313.57, but hospitals typically charge $3,153 — a 10.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$62.71

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $313.57, your out-of-pocket cost would be approximately $62.71. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$313.57
Average Hospital Charge
$3,153
Markup Ratio
10.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,152.81
Medicare Allowed$313.57
Medicare Payment$248.25

Hospitals charge 10.1x more than what Medicare allows for this procedure. Medicare actually pays $248.25 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$562$3,44829291+79.2%
Wyoming$471$3,16319136+50.3%
California$439$3,3062,00410,858+40.1%
Montana$434$2,766112538+38.5%
Utah$427$2,698234967+36.1%
Nevada$421$4,487187870+34.3%
Oregon$409$2,7483611,249+30.4%
Vermont$402$2,42747143+28.3%
Idaho$397$2,89195516+26.7%
Hawaii$388$2,70963235+23.6%
Oklahoma$375$2,7021961,666+19.4%
Indiana$374$3,2715902,677+19.3%
Puerto Rico$374$2,76037187+19.2%
New York$369$4,7901,5079,650+17.8%
Iowa$366$2,6382941,296+16.6%
Arizona$364$3,3756173,686+16.1%
Arkansas$363$1,8191901,512+15.8%
Maryland$361$3,2343242,625+15.3%
Washington$360$2,7107143,113+14.8%
New Mexico$358$3,13093335+14.0%
Nebraska$352$2,179230886+12.3%
Colorado$348$3,1276512,282+11.0%
New Hampshire$337$5,117179684+7.5%
Massachusetts$334$2,7398255,142+6.5%
Illinois$326$3,8721,4086,032+4.0%
Delaware$324$3,059122630+3.3%
Connecticut$322$3,8863881,543+2.8%
New Jersey$317$2,8846074,352+1.0%
Louisiana$316$1,9874211,877+0.9%
Florida$313$3,4072,51814,053-0.2%
Rhode Island$312$2,21879473-0.5%
Kentucky$310$3,1714841,728-1.2%
Texas$303$3,8682,32613,522-3.5%
Minnesota$302$2,5587562,711-3.6%
Ohio$302$2,4771,4076,343-3.8%
District of Columbia$297$1,9841371,020-5.3%
Wisconsin$293$4,1817012,495-6.6%
Kansas$281$1,7713421,796-10.4%
Missouri$279$2,4947433,974-11.1%
Virginia$277$3,3259196,628-11.8%
North Dakota$267$1,924144361-14.8%
Pennsylvania$265$2,5122,10110,060-15.4%
West Virginia$262$3,046146584-16.3%
Tennessee$259$2,9237894,944-17.3%
Michigan$259$3,5081,3704,817-17.4%
Mississippi$257$2,1012381,338-18.0%
Maine$256$3,034180803-18.4%
North Carolina$251$2,8911,1566,133-20.0%
South Carolina$231$3,0846645,294-26.3%
Georgia$228$2,6001,0155,516-27.2%
Alabama$214$1,9575453,615-31.7%
South Dakota$204$1,706100791-34.8%

⚠️ 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