Anesthesia for other procedure on lower abdomen outside abdominal cavity
Medicare pricing data for 29,955 providers across 52 states
This procedure has a 10.3x markup — hospitals charge $2,095 but Medicare allows only $203.75. Uninsured patients may face bills 10.3 times higher than what insurance negotiates. Prices vary significantly by location — from $141 in South Dakota to $338 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 lower abdomen outside abdominal cavity (HCPCS code 00860) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $203.75, but hospitals typically charge $2,095 — a 10.3x 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 $203.75, your out-of-pocket cost would be approximately $40.75. 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 10.3x more than what Medicare allows for this procedure. Medicare actually pays $160.64 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $338 | $2,046 | 47 | 76 | +66.0% |
| Montana | $289 | $1,697 | 92 | 138 | +41.9% |
| Nevada | $282 | $2,515 | 135 | 223 | +38.6% |
| Hawaii | $275 | $2,084 | 55 | 85 | +35.0% |
| Puerto Rico | $274 | $1,705 | 26 | 55 | +34.4% |
| Idaho | $273 | $1,867 | 98 | 148 | +33.8% |
| California | $272 | $2,181 | 1,928 | 3,674 | +33.4% |
| New Mexico | $270 | $2,469 | 108 | 154 | +32.3% |
| Delaware | $265 | $2,248 | 95 | 177 | +30.2% |
| Utah | $255 | $1,713 | 221 | 382 | +24.9% |
| Oregon | $254 | $1,602 | 317 | 508 | +24.8% |
| Iowa | $248 | $1,592 | 219 | 338 | +21.7% |
| Wyoming | $244 | $1,479 | 26 | 44 | +19.9% |
| Arizona | $244 | $2,881 | 588 | 1,212 | +19.6% |
| Maryland | $241 | $2,233 | 546 | 1,035 | +18.2% |
| Washington | $241 | $1,861 | 607 | 994 | +18.1% |
| Oklahoma | $228 | $1,899 | 302 | 636 | +11.9% |
| Colorado | $226 | $2,231 | 440 | 662 | +11.1% |
| Indiana | $221 | $1,780 | 511 | 841 | +8.7% |
| New York | $220 | $2,676 | 1,784 | 3,541 | +7.9% |
| Kentucky | $217 | $1,905 | 369 | 573 | +6.6% |
| New Jersey | $212 | $2,174 | 795 | 1,689 | +4.0% |
| Florida | $209 | $2,343 | 2,207 | 4,074 | +2.6% |
| Massachusetts | $208 | $1,653 | 921 | 1,741 | +2.2% |
| Illinois | $207 | $2,394 | 1,079 | 1,860 | +1.7% |
| District of Columbia | $207 | $1,743 | 175 | 305 | +1.6% |
| Louisiana | $207 | $1,524 | 435 | 762 | +1.6% |
| Nebraska | $207 | $1,246 | 216 | 482 | +1.5% |
| Kansas | $204 | $1,284 | 377 | 777 | +0.1% |
| Wisconsin | $202 | $2,951 | 542 | 872 | -0.8% |
| Connecticut | $202 | $2,596 | 341 | 555 | -0.9% |
| Rhode Island | $201 | $1,825 | 78 | 151 | -1.4% |
| Tennessee | $201 | $1,975 | 875 | 1,498 | -1.6% |
| New Hampshire | $198 | $2,967 | 158 | 293 | -2.8% |
| Texas | $193 | $2,487 | 2,352 | 4,557 | -5.3% |
| Vermont | $191 | $1,211 | 47 | 80 | -6.3% |
| Arkansas | $190 | $1,186 | 268 | 744 | -6.9% |
| Ohio | $189 | $1,620 | 1,358 | 2,274 | -7.1% |
| Virginia | $188 | $2,519 | 746 | 1,330 | -7.8% |
| Minnesota | $183 | $1,727 | 647 | 1,117 | -10.3% |
| Missouri | $179 | $1,472 | 647 | 1,156 | -12.1% |
| North Dakota | $178 | $1,470 | 101 | 159 | -12.8% |
| Michigan | $177 | $2,633 | 1,073 | 1,681 | -13.2% |
| Pennsylvania | $174 | $1,811 | 1,623 | 2,871 | -14.7% |
| Georgia | $170 | $1,813 | 1,106 | 2,076 | -16.5% |
| Mississippi | $168 | $1,190 | 228 | 415 | -17.4% |
| Maine | $165 | $1,816 | 155 | 230 | -19.3% |
| South Carolina | $161 | $2,168 | 718 | 1,522 | -21.1% |
| North Carolina | $160 | $2,005 | 1,080 | 2,044 | -21.6% |
| West Virginia | $148 | $1,971 | 238 | 446 | -27.1% |
| Alabama | $142 | $1,454 | 637 | 1,280 | -30.2% |
| South Dakota | $141 | $1,627 | 141 | 236 | -31.0% |
⚠️ 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