00567

Anesthesia for heart artery bypass grafting on heart-lung machine

Medicare pricing data for 9,393 providers across 52 states

🤖AI Overview

This procedure has a 9.2x markup — hospitals charge $6,114 but Medicare allows only $666.36. Uninsured patients may face bills 9.2 times higher than what insurance negotiates. Prices vary significantly by location — from $398 in South Dakota to $1,188 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 heart artery bypass grafting on heart-lung machine (HCPCS code 00567) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $666.36, but hospitals typically charge $6,114 — a 9.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$133.27

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $666.36, your out-of-pocket cost would be approximately $133.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$666.36
Average Hospital Charge
$6,114
Markup Ratio
9.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$6,114.28
Medicare Allowed$666.36
Medicare Payment$530.81

Hospitals charge 9.2x more than what Medicare allows for this procedure. Medicare actually pays $530.81 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$1,188$7,181656+78.4%
Wyoming$981$6,460850+47.3%
California$917$6,8724682,333+37.7%
Vermont$879$4,75313102+31.9%
Massachusetts$870$6,2711971,326+30.6%
Maryland$870$6,44391662+30.6%
Rhode Island$870$5,5591031+30.5%
Montana$862$4,87533280+29.4%
Utah$861$5,32264245+29.3%
New York$852$10,4753152,108+27.8%
Washington$852$5,669121726+27.8%
Connecticut$849$7,69877376+27.4%
District of Columbia$830$5,91826179+24.5%
Colorado$818$6,86072289+22.7%
New Mexico$809$7,17019114+21.3%
Idaho$806$5,20024186+20.9%
Delaware$802$6,63018165+20.4%
Nebraska$784$4,19855515+17.7%
Oregon$782$4,94670395+17.4%
Hawaii$773$5,9261153+15.9%
Indiana$772$5,320143854+15.9%
Arizona$763$7,71382514+14.5%
Illinois$761$8,1524101,998+14.2%
Iowa$754$5,42087531+13.1%
Oklahoma$750$4,95375611+12.6%
Nevada$749$7,25247289+12.4%
Wisconsin$744$8,076167579+11.7%
Arkansas$742$3,705117628+11.3%
New Hampshire$729$8,86927219+9.3%
Kentucky$695$4,910168842+4.3%
Maine$693$4,72122157+3.9%
Texas$689$7,8866053,107+3.4%
Kansas$682$3,662138628+2.3%
New Jersey$674$6,3421481,164+1.1%
Virginia$656$6,7402221,375-1.5%
Florida$649$6,7766843,706-2.6%
Louisiana$616$4,920260823-7.5%
Ohio$614$4,8025482,166-7.8%
Missouri$609$4,1952811,467-8.6%
Pennsylvania$607$5,2966052,621-9.0%
Michigan$603$7,2713671,328-9.4%
Puerto Rico$592$3,5371124-11.2%
Tennessee$582$5,5603471,774-12.6%
Mississippi$537$3,825136790-19.3%
North Carolina$495$5,7004742,163-25.8%
South Carolina$479$6,1632101,480-28.1%
Minnesota$471$4,582404988-29.3%
North Dakota$471$3,98695299-29.3%
Georgia$470$4,9253281,932-29.5%
West Virginia$454$6,58989490-31.9%
Alabama$405$3,4403401,445-39.2%
South Dakota$398$4,23356432-40.3%

⚠️ 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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