Anesthesia for procedure on anus and rectum
Medicare pricing data for 43,018 providers across 52 states
This procedure has a 10.3x markup — hospitals charge $1,295 but Medicare allows only $125.32. Uninsured patients may face bills 10.3 times higher than what insurance negotiates. Prices vary significantly by location — from $93 in South Carolina to $235 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 anus and rectum (HCPCS code 00902) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $125.32, but hospitals typically charge $1,295 — 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 $125.32, your out-of-pocket cost would be approximately $25.06. 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 $98.04 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $235 | $1,409 | 70 | 148 | +87.8% |
| California | $184 | $1,481 | 2,559 | 6,431 | +47.0% |
| Puerto Rico | $183 | $1,224 | 52 | 165 | +46.1% |
| Utah | $180 | $1,080 | 200 | 399 | +43.8% |
| Montana | $177 | $1,057 | 128 | 283 | +41.6% |
| Idaho | $172 | $1,164 | 136 | 226 | +37.3% |
| Wyoming | $171 | $1,352 | 53 | 142 | +36.7% |
| Nevada | $168 | $1,649 | 224 | 483 | +34.0% |
| Oregon | $166 | $1,106 | 313 | 591 | +32.7% |
| Hawaii | $161 | $1,274 | 63 | 147 | +28.8% |
| Washington | $159 | $1,174 | 708 | 1,425 | +26.5% |
| Nebraska | $154 | $934 | 321 | 949 | +22.5% |
| New York | $152 | $2,177 | 2,408 | 7,983 | +21.6% |
| Arkansas | $146 | $824 | 380 | 1,408 | +16.9% |
| Iowa | $146 | $1,048 | 368 | 1,030 | +16.8% |
| New Mexico | $142 | $1,554 | 169 | 341 | +13.7% |
| Arizona | $142 | $1,928 | 786 | 2,449 | +12.9% |
| Colorado | $139 | $1,491 | 568 | 1,171 | +11.2% |
| Oklahoma | $139 | $1,141 | 493 | 1,499 | +10.9% |
| New Jersey | $137 | $1,826 | 1,112 | 4,924 | +9.7% |
| Indiana | $137 | $1,106 | 882 | 2,356 | +9.5% |
| Maryland | $137 | $1,309 | 654 | 1,978 | +9.4% |
| Kansas | $136 | $911 | 489 | 1,780 | +8.3% |
| Illinois | $131 | $1,391 | 1,638 | 4,785 | +4.8% |
| Kentucky | $131 | $1,092 | 729 | 2,073 | +4.2% |
| Florida | $130 | $1,352 | 3,227 | 9,913 | +3.6% |
| Louisiana | $126 | $863 | 690 | 2,241 | +0.4% |
| Tennessee | $124 | $1,156 | 1,235 | 3,628 | -1.3% |
| District of Columbia | $123 | $1,291 | 210 | 674 | -1.8% |
| Missouri | $122 | $1,009 | 1,052 | 2,974 | -2.3% |
| New Hampshire | $121 | $1,765 | 240 | 564 | -3.1% |
| Wisconsin | $121 | $1,794 | 891 | 1,814 | -3.3% |
| North Dakota | $121 | $924 | 159 | 324 | -3.6% |
| Delaware | $120 | $1,093 | 163 | 796 | -4.2% |
| Minnesota | $120 | $1,088 | 923 | 1,844 | -4.3% |
| Vermont | $116 | $803 | 77 | 161 | -7.5% |
| Maine | $115 | $1,125 | 240 | 496 | -8.2% |
| Texas | $115 | $1,475 | 2,986 | 8,614 | -8.5% |
| Rhode Island | $112 | $918 | 121 | 424 | -10.8% |
| Massachusetts | $112 | $951 | 1,233 | 3,978 | -10.9% |
| Ohio | $111 | $987 | 2,033 | 5,935 | -11.1% |
| Connecticut | $110 | $1,357 | 605 | 1,610 | -12.1% |
| West Virginia | $110 | $1,063 | 353 | 990 | -12.4% |
| Michigan | $108 | $1,607 | 1,521 | 3,338 | -13.6% |
| Mississippi | $106 | $763 | 453 | 2,032 | -15.3% |
| North Carolina | $105 | $1,291 | 1,474 | 3,968 | -15.8% |
| Georgia | $105 | $1,007 | 1,696 | 5,301 | -16.1% |
| South Dakota | $103 | $1,166 | 210 | 571 | -18.2% |
| Pennsylvania | $102 | $1,041 | 2,533 | 6,954 | -18.9% |
| Virginia | $97 | $1,001 | 1,287 | 6,003 | -22.4% |
| Alabama | $95 | $910 | 884 | 2,290 | -24.0% |
| South Carolina | $93 | $1,198 | 964 | 4,075 | -25.5% |
⚠️ 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