Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm
Medicare pricing data for 36,726 providers across 52 states
This procedure has a 10.3x markup — hospitals charge $1,959 but Medicare allows only $190.66. Uninsured patients may face bills 10.3 times higher than what insurance negotiates. Prices vary significantly by location — from $142 in South Carolina to $343 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 nerves, muscles, tendons, fascia, and bursae of shoulder and underarm (HCPCS code 01610) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $190.66, but hospitals typically charge $1,959 — 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 $190.66, your out-of-pocket cost would be approximately $38.13. 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 $150.55 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $343 | $2,347 | 71 | 129 | +80.0% |
| California | $273 | $2,088 | 2,367 | 4,899 | +43.1% |
| Idaho | $268 | $1,939 | 144 | 259 | +40.3% |
| Montana | $255 | $1,602 | 135 | 289 | +33.7% |
| Utah | $249 | $1,658 | 247 | 413 | +30.6% |
| Puerto Rico | $242 | $2,446 | 27 | 46 | +26.7% |
| Oregon | $238 | $1,600 | 347 | 675 | +24.7% |
| Washington | $236 | $1,672 | 753 | 1,452 | +23.7% |
| Wyoming | $231 | $1,747 | 42 | 74 | +21.3% |
| Hawaii | $231 | $1,825 | 84 | 196 | +21.3% |
| Nevada | $231 | $2,141 | 177 | 328 | +21.1% |
| Iowa | $230 | $1,545 | 336 | 801 | +20.7% |
| Arizona | $229 | $2,643 | 712 | 1,580 | +20.1% |
| Delaware | $228 | $1,995 | 131 | 315 | +19.8% |
| Nebraska | $228 | $1,416 | 310 | 585 | +19.7% |
| New Mexico | $225 | $2,230 | 141 | 282 | +18.1% |
| Maryland | $223 | $2,062 | 645 | 1,632 | +17.0% |
| Arkansas | $222 | $1,522 | 275 | 518 | +16.2% |
| Oklahoma | $207 | $1,907 | 341 | 726 | +8.4% |
| District of Columbia | $204 | $1,904 | 166 | 327 | +7.1% |
| Indiana | $203 | $1,808 | 750 | 1,510 | +6.6% |
| Illinois | $203 | $2,471 | 1,428 | 2,888 | +6.5% |
| Colorado | $201 | $1,891 | 596 | 1,098 | +5.4% |
| New York | $196 | $2,409 | 1,960 | 4,660 | +3.0% |
| Louisiana | $196 | $1,432 | 483 | 900 | +2.8% |
| Rhode Island | $194 | $1,646 | 98 | 201 | +1.8% |
| Florida | $194 | $2,170 | 2,657 | 5,951 | +1.7% |
| New Jersey | $194 | $2,158 | 850 | 1,766 | +1.7% |
| Tennessee | $192 | $1,974 | 991 | 1,920 | +0.5% |
| Kentucky | $189 | $1,977 | 499 | 943 | -0.6% |
| Texas | $187 | $2,355 | 2,574 | 5,516 | -2.0% |
| Connecticut | $185 | $2,279 | 433 | 786 | -3.1% |
| Missouri | $184 | $1,472 | 923 | 1,794 | -3.7% |
| Ohio | $183 | $1,640 | 1,578 | 2,874 | -3.9% |
| Massachusetts | $182 | $1,519 | 1,057 | 2,441 | -4.3% |
| Kansas | $180 | $1,145 | 480 | 1,085 | -5.7% |
| Wisconsin | $174 | $2,563 | 736 | 1,310 | -8.6% |
| New Hampshire | $174 | $2,485 | 219 | 513 | -8.9% |
| Vermont | $170 | $1,125 | 81 | 195 | -10.6% |
| Maine | $165 | $1,808 | 211 | 350 | -13.3% |
| North Dakota | $164 | $1,239 | 157 | 326 | -14.0% |
| Virginia | $163 | $1,992 | 1,138 | 2,757 | -14.6% |
| Michigan | $162 | $2,261 | 1,277 | 2,436 | -15.1% |
| Pennsylvania | $159 | $1,629 | 2,236 | 4,480 | -16.7% |
| West Virginia | $155 | $1,721 | 266 | 514 | -18.5% |
| Minnesota | $152 | $1,376 | 921 | 1,821 | -20.1% |
| Georgia | $150 | $1,666 | 1,296 | 2,553 | -21.3% |
| Mississippi | $150 | $1,153 | 307 | 705 | -21.4% |
| North Carolina | $149 | $1,889 | 1,390 | 3,033 | -21.7% |
| Alabama | $148 | $1,504 | 611 | 1,080 | -22.6% |
| South Dakota | $143 | $1,720 | 202 | 582 | -24.9% |
| South Carolina | $142 | $1,994 | 824 | 2,085 | -25.4% |
⚠️ 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