01926

Anesthesia for x-ray on artery of brain, heart, or chest

Medicare pricing data for 30,595 providers across 52 states

🤖AI Overview

This procedure has a 10.7x markup — hospitals charge $2,689 but Medicare allows only $250.50. Uninsured patients may face bills 10.7 times higher than what insurance negotiates. Prices vary significantly by location — from $172 in Alabama to $513 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 x-ray on artery of brain, heart, or chest (HCPCS code 01926) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $250.50, but hospitals typically charge $2,689 — a 10.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$50.10

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $250.50, your out-of-pocket cost would be approximately $50.10. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$250.50
Average Hospital Charge
$2,689
Markup Ratio
10.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,689.37
Medicare Allowed$250.50
Medicare Payment$198.23

Hospitals charge 10.7x more than what Medicare allows for this procedure. Medicare actually pays $198.23 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$513$3,2752482+104.7%
Wyoming$349$2,4241991+39.2%
California$337$2,5691,9708,053+34.6%
Nevada$323$3,374167496+29.1%
Oregon$323$2,270301853+29.0%
Montana$321$1,91285481+28.1%
Utah$320$2,208184555+27.8%
New York$314$4,3461,5975,886+25.3%
Maryland$307$2,9444711,477+22.4%
Massachusetts$295$2,5247562,964+17.7%
Iowa$293$2,203264908+17.1%
Arkansas$290$1,710230989+15.9%
Arizona$290$3,3094172,344+15.7%
Delaware$289$2,744106305+15.4%
Illinois$288$3,4701,2104,039+14.9%
Hawaii$287$2,21358174+14.8%
Puerto Rico$282$1,8253071+12.8%
Indiana$281$2,4545212,335+12.1%
Washington$281$2,4086462,377+12.1%
Idaho$279$2,081148561+11.5%
Oklahoma$279$2,1922101,340+11.3%
Colorado$277$2,6515011,491+10.6%
New Mexico$260$2,499102343+3.9%
Nebraska$258$1,6642471,323+3.0%
District of Columbia$258$2,077144497+2.8%
New Jersey$254$3,0427502,571+1.2%
Vermont$253$1,94550128+0.9%
Florida$251$3,0452,4319,416+0.3%
New Hampshire$248$4,437165553-1.0%
Rhode Island$248$1,98265214-1.1%
Kentucky$246$2,4524891,348-1.7%
Connecticut$246$3,0083721,253-1.7%
Ohio$242$2,2341,3353,758-3.5%
Wisconsin$239$3,6176391,917-4.7%
Texas$238$3,0032,1109,758-5.0%
Louisiana$236$1,8644311,410-5.8%
Virginia$232$3,0898803,405-7.4%
Tennessee$221$2,6218283,247-11.6%
Michigan$221$2,9201,2413,353-11.6%
Missouri$221$2,1618213,181-11.9%
West Virginia$219$2,319197512-12.6%
Pennsylvania$218$2,3191,9995,920-13.0%
Maine$209$2,322168410-16.5%
North Dakota$205$1,713179539-18.0%
North Carolina$204$2,5701,1434,010-18.6%
Minnesota$203$1,9907021,923-19.2%
Kansas$200$1,2613572,200-20.0%
Mississippi$189$1,4052481,523-24.7%
South Carolina$180$2,5116693,662-28.0%
Georgia$179$2,3111,1294,268-28.7%
South Dakota$176$2,334155628-29.7%
Alabama$172$1,9396092,479-31.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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