Anesthesia for other procedure on upper abdomen
Medicare pricing data for 71,441 providers across 52 states
This procedure has a 10.0x markup — hospitals charge $2,454 but Medicare allows only $244.81. Uninsured patients may face bills 10.0 times higher than what insurance negotiates. Prices vary significantly by location — from $174 in South Dakota to $442 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 upper abdomen (HCPCS code 00790) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $244.81, but hospitals typically charge $2,454 — a 10.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $244.81, your out-of-pocket cost would be approximately $48.96. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 10.0x more than what Medicare allows for this procedure. Medicare actually pays $193.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $442 | $2,647 | 127 | 469 | +80.7% |
| California | $346 | $2,617 | 4,496 | 22,715 | +41.2% |
| Montana | $326 | $1,901 | 201 | 1,218 | +33.2% |
| Puerto Rico | $325 | $2,254 | 85 | 363 | +32.8% |
| Oregon | $322 | $2,057 | 694 | 3,170 | +31.5% |
| Utah | $313 | $1,954 | 488 | 1,879 | +27.9% |
| Idaho | $311 | $2,131 | 300 | 1,378 | +27.0% |
| Hawaii | $307 | $2,128 | 132 | 593 | +25.5% |
| Washington | $298 | $2,149 | 1,380 | 6,691 | +21.7% |
| Nevada | $295 | $2,949 | 386 | 2,243 | +20.7% |
| New Mexico | $293 | $2,597 | 322 | 1,359 | +19.7% |
| Iowa | $288 | $1,917 | 584 | 3,055 | +17.5% |
| Wyoming | $284 | $2,268 | 80 | 395 | +16.0% |
| Arkansas | $283 | $1,663 | 585 | 3,441 | +15.8% |
| Arizona | $283 | $3,043 | 1,203 | 6,738 | +15.5% |
| New York | $282 | $3,609 | 3,841 | 19,994 | +15.3% |
| Maryland | $278 | $2,581 | 1,140 | 6,876 | +13.6% |
| Nebraska | $274 | $1,762 | 539 | 2,887 | +12.1% |
| District of Columbia | $270 | $2,396 | 293 | 1,612 | +10.3% |
| Indiana | $268 | $2,196 | 1,332 | 6,997 | +9.7% |
| New Jersey | $268 | $3,012 | 1,566 | 8,778 | +9.4% |
| Delaware | $266 | $2,570 | 243 | 1,622 | +8.7% |
| Colorado | $259 | $2,469 | 1,122 | 4,962 | +5.9% |
| Massachusetts | $259 | $2,085 | 1,898 | 11,050 | +5.7% |
| Oklahoma | $257 | $2,291 | 717 | 4,078 | +4.8% |
| Illinois | $253 | $2,988 | 2,628 | 13,812 | +3.4% |
| Florida | $247 | $2,726 | 5,162 | 26,070 | +0.8% |
| Louisiana | $244 | $1,919 | 1,133 | 5,575 | -0.5% |
| Kansas | $242 | $1,562 | 858 | 5,024 | -1.0% |
| Rhode Island | $241 | $2,043 | 180 | 871 | -1.5% |
| Kentucky | $238 | $2,202 | 1,172 | 5,528 | -2.7% |
| Connecticut | $237 | $2,709 | 905 | 4,153 | -3.0% |
| Texas | $237 | $2,937 | 5,544 | 27,419 | -3.1% |
| New Hampshire | $237 | $3,264 | 394 | 1,891 | -3.2% |
| Tennessee | $235 | $2,278 | 2,061 | 10,173 | -3.9% |
| Ohio | $232 | $1,975 | 3,259 | 15,127 | -5.1% |
| Wisconsin | $231 | $3,304 | 1,511 | 6,844 | -5.7% |
| Vermont | $226 | $1,502 | 139 | 808 | -7.7% |
| Missouri | $221 | $1,822 | 1,823 | 9,393 | -9.6% |
| Virginia | $218 | $2,525 | 1,854 | 11,412 | -11.0% |
| Maine | $213 | $2,209 | 487 | 1,955 | -13.0% |
| Michigan | $209 | $2,692 | 2,664 | 11,221 | -14.7% |
| Pennsylvania | $206 | $2,093 | 4,166 | 20,544 | -15.8% |
| North Dakota | $202 | $1,678 | 282 | 1,407 | -17.6% |
| Minnesota | $201 | $1,891 | 1,794 | 7,725 | -18.0% |
| West Virginia | $200 | $2,110 | 551 | 2,706 | -18.1% |
| North Carolina | $194 | $2,392 | 2,670 | 14,095 | -20.9% |
| Georgia | $187 | $1,984 | 2,503 | 13,010 | -23.6% |
| Mississippi | $185 | $1,328 | 655 | 5,073 | -24.6% |
| South Carolina | $182 | $2,439 | 1,439 | 8,950 | -25.7% |
| Alabama | $175 | $1,644 | 1,382 | 7,384 | -28.6% |
| South Dakota | $174 | $1,934 | 337 | 2,057 | -28.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber