00732

Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope

Medicare pricing data for 41,645 providers across 52 states

🤖AI Overview

This procedure has a 10.6x markup — hospitals charge $1,602 but Medicare allows only $151.66. Uninsured patients may face bills 10.6 times higher than what insurance negotiates. Prices vary significantly by location — from $112 in Alabama to $292 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 on gallbladder, pancreas, or liver using an endoscope (HCPCS code 00732) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $151.66, but hospitals typically charge $1,602 — a 10.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$30.33

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $151.66, your out-of-pocket cost would be approximately $30.33. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$151.66
Average Hospital Charge
$1,602
Markup Ratio
10.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,602.07
Medicare Allowed$151.66
Medicare Payment$119.49

Hospitals charge 10.6x more than what Medicare allows for this procedure. Medicare actually pays $119.49 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$292$1,68067142+92.8%
Montana$221$1,294127376+45.8%
Wyoming$209$1,34235135+37.9%
California$204$1,6483,02010,311+34.3%
Utah$198$1,265274682+30.7%
Hawaii$193$1,45692324+27.2%
Puerto Rico$187$1,88037115+23.6%
Iowa$187$1,280281894+23.3%
Nevada$184$1,988255770+21.5%
Idaho$183$1,266147424+20.8%
Oregon$183$1,1964261,037+20.5%
Nebraska$181$1,110286943+19.1%
New York$173$2,2562,4107,915+14.0%
Arizona$172$2,0087322,991+13.2%
Washington$170$1,2889302,980+11.9%
Indiana$167$1,4206782,564+9.9%
New Mexico$166$1,589190522+9.8%
Arkansas$165$1,096297958+8.7%
Colorado$161$1,5867082,298+6.1%
Florida$161$1,8262,8628,209+5.9%
Delaware$160$1,607139545+5.5%
New Jersey$160$1,9271,0343,347+5.2%
North Dakota$159$1,233202566+4.9%
Oklahoma$158$1,4843141,252+4.5%
Maryland$157$1,5296642,424+3.6%
Kentucky$155$1,5936742,237+2.4%
Louisiana$155$1,2435831,630+2.1%
Illinois$151$1,8171,7725,901-0.4%
Tennessee$151$1,5191,0602,841-0.6%
Missouri$147$1,1631,0133,695-3.3%
Texas$145$1,9683,1819,174-4.4%
Massachusetts$142$1,1591,2195,042-6.1%
District of Columbia$142$1,299200761-6.5%
Mississippi$142$1,044295837-6.6%
Connecticut$142$1,8696061,913-6.7%
Minnesota$141$1,3291,0012,942-7.0%
Vermont$141$90671176-7.0%
Wisconsin$141$2,1649162,753-7.3%
Kansas$139$8464291,597-8.6%
Ohio$137$1,2741,7765,267-9.8%
Virginia$136$1,6731,0883,882-10.0%
Michigan$135$1,8611,5774,634-11.2%
New Hampshire$132$2,215246865-12.9%
Rhode Island$130$1,057142468-14.3%
Pennsylvania$126$1,3042,5177,999-16.7%
Maine$125$1,340286872-17.9%
Georgia$122$1,3671,3843,784-19.4%
West Virginia$117$1,4162791,005-22.6%
South Dakota$116$1,399197948-23.2%
South Carolina$115$1,6198173,291-23.8%
North Carolina$115$1,5131,4575,055-24.0%
Alabama$112$1,1756021,887-26.2%

⚠️ 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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