00797

Anesthesia for procedure on stomach for weight loss

Medicare pricing data for 10,722 providers across 50 states

🤖AI Overview

This procedure has a 10.6x markup — hospitals charge $3,163 but Medicare allows only $299.23. Uninsured patients may face bills 10.6 times higher than what insurance negotiates. Prices vary significantly by location — from $218 in Alabama to $586 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 stomach for weight loss (HCPCS code 00797) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $299.23, but hospitals typically charge $3,163 — a 10.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$59.85

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $299.23, your out-of-pocket cost would be approximately $59.85. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$299.23
Average Hospital Charge
$3,163
Markup Ratio
10.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,162.84
Medicare Allowed$299.23
Medicare Payment$235.88

Hospitals charge 10.6x more than what Medicare allows for this procedure. Medicare actually pays $235.88 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$586$3,4311417+95.9%
Montana$428$2,4582938+42.9%
California$419$3,425630929+40.0%
Oregon$413$2,435129166+38.2%
Utah$388$2,8385480+29.7%
Washington$386$2,995183272+28.9%
Wyoming$381$2,194812+27.3%
Maryland$361$2,942198283+20.8%
Arkansas$360$2,069100266+20.2%
Idaho$358$2,2654374+19.6%
Iowa$355$2,52577101+18.6%
Nevada$352$3,48874118+17.8%
North Dakota$351$2,0482534+17.2%
Arizona$348$4,049182261+16.3%
Nebraska$344$2,7667286+15.0%
New Mexico$343$3,4002638+14.8%
Indiana$338$2,947174241+13.0%
District of Columbia$334$2,6823140+11.5%
New York$330$4,827628884+10.4%
Oklahoma$327$3,05094163+9.3%
Illinois$323$3,650394565+8.0%
Colorado$321$3,264137179+7.2%
Florida$312$3,3547431,102+4.1%
Tennessee$297$3,076256350-0.8%
Massachusetts$295$2,420340499-1.3%
New Hampshire$293$3,82382136-2.1%
New Jersey$292$3,671337476-2.5%
Louisiana$290$2,036159268-3.1%
Ohio$289$2,512428551-3.4%
Vermont$288$2,4041516-3.7%
Texas$286$4,0049081,410-4.4%
Delaware$285$3,4574676-4.6%
Wisconsin$280$4,126205283-6.4%
Kentucky$277$2,992191271-7.4%
Virginia$269$2,976303422-9.9%
Rhode Island$268$2,6912640-10.3%
Kansas$264$1,775152268-11.8%
Connecticut$262$3,184134173-12.3%
Maine$260$2,9797590-13.1%
Missouri$260$2,073357571-13.2%
Pennsylvania$256$2,757564778-14.5%
Michigan$255$3,396431598-14.7%
Minnesota$248$2,342239328-17.0%
North Carolina$240$3,042334473-19.8%
Georgia$240$2,849388561-19.9%
West Virginia$239$3,58677119-20.0%
Mississippi$235$1,813130213-21.3%
South Carolina$230$3,011238390-23.0%
South Dakota$222$2,46484115-25.9%
Alabama$218$2,530165238-27.2%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber