Cost analysis for CPT 00142 — Anesthesia for lens surgery
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 2.8x more than the cheapest for this procedure. PR averages $148.81 vs AL at $53.03.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| PR | $148.81 | $122.5K | 823 | 17 |
| AK | $110.72 | $346.4K | 3.1K | 48 |
| VI | $110.56 | $12.2K | 110 | 1 |
| GU | $99.39 | $47.5K | 478 | 4 |
| CA | $98.50 | $12.5M | 127.3K | 1.7K |
| HI | $94.99 | $381.8K | 4.0K | 55 |
| ME | $94.06 | $517.3K | 5.5K | 88 |
| AE | $93.76 | $12.1K | 129 | 2 |
| AP | $93.50 | $12.7K | 136 | 3 |
| MD | $93.14 | $3.7M | 40.0K | 321 |
| NJ | $87.31 | $4.2M | 47.6K | 402 |
| WY | $87.29 | $175.0K | 2.0K | 33 |
| AZ | $86.59 | $2.9M | 33.5K | 221 |
| KS | $85.89 | $2.0M | 23.3K | 215 |
| MT | $85.75 | $461.2K | 5.4K | 41 |
| UT | $85.75 | $850.5K | 9.9K | 162 |
| OR | $85.27 | $1.3M | 15.1K | 168 |
| NV | $84.26 | $1.1M | 13.1K | 102 |
| LA | $83.66 | $1.8M | 21.8K | 280 |
| WA | $83.57 | $3.0M | 36.1K | 350 |
| IA | $83.54 | $1.5M | 17.7K | 243 |
| ID | $83.49 | $662.6K | 7.9K | 74 |
| NM | $83.34 | $991.0K | 11.9K | 84 |
| ND | $83.08 | $512.0K | 6.2K | 68 |
| NH | $82.79 | $761.0K | 9.2K | 82 |
| AR | $82.26 | $1.5M | 18.5K | 134 |
| NE | $81.07 | $1.2M | 15.2K | 125 |
| FL | $80.86 | $9.4M | 116.0K | 1.1K |
| OK | $80.46 | $1.6M | 20.4K | 151 |
| TN | $80.04 | $4.0M | 49.4K | 531 |
| KY | $79.90 | $2.1M | 26.1K | 314 |
| IL | $78.92 | $5.1M | 64.5K | 1.1K |
| MO | $78.82 | $2.7M | 34.5K | 432 |
| CO | $78.76 | $1.6M | 20.3K | 257 |
| NY | $78.69 | $7.4M | 94.0K | 1.0K |
| DE | $78.07 | $384.8K | 4.9K | 47 |
| IN | $77.76 | $2.2M | 27.8K | 354 |
| RI | $76.74 | $427.3K | 5.6K | 44 |
| SD | $76.02 | $747.1K | 9.8K | 70 |
| MA | $74.93 | $3.6M | 48.2K | 350 |
| MS | $74.93 | $1.5M | 19.4K | 163 |
| DC | $74.50 | $253.8K | 3.4K | 51 |
| OH | $72.37 | $4.5M | 61.9K | 843 |
| TX | $68.77 | $9.0M | 130.5K | 1.5K |
| VT | $68.70 | $231.9K | 3.4K | 53 |
| WI | $68.61 | $1.6M | 23.4K | 537 |
| GA | $68.60 | $3.4M | 49.7K | 590 |
| VA | $67.33 | $4.0M | 58.7K | 507 |
| PA | $67.19 | $6.3M | 93.7K | 1.2K |
| SC | $65.27 | $2.9M | 44.2K | 384 |
| MN | $64.71 | $1.7M | 26.4K | 513 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| John Bing | Certified Registered Nurse Anesthetist (CRNA) | MD | $216.4K | 2.1K | $103.16 |
| John Bean | Certified Registered Nurse Anesthetist (CRNA) | OK | $200.8K | 2.9K | $69.31 |
| Villi Enders | Anesthesiology | ME | $164.7K | 1.1K | $145.00 |
| Chris Bender | Certified Registered Nurse Anesthetist (CRNA) | SD | $161.5K | 2.4K | $68.40 |
| Paul Picetti | Anesthesiology | NV | $158.0K | 1.9K | $82.41 |
| Timothy Gibson | Certified Registered Nurse Anesthetist (CRNA) | FL | $156.3K | 2.3K | $68.30 |
| David Santamore | Anesthesiology | MD | $155.0K | 1.7K | $90.57 |
| Scott Gonzales | Anesthesiology | MA | $154.5K | 2.0K | $77.57 |
| Gassan Mohama | Anesthesiology | IL | $149.9K | 1.8K | $84.80 |
| Andrew Nychka | Anesthesiology | NY | $146.5K | 1.4K | $102.67 |
| Heather Livezey | Anesthesiology | NJ | $140.0K | 1.2K | $119.49 |
| Smita Parikh | Anesthesiology | NY | $135.9K | 1.2K | $110.99 |
| John Hinton | Certified Registered Nurse Anesthetist (CRNA) | FL | $134.9K | 1.7K | $77.51 |
| Kevin Burman | Certified Registered Nurse Anesthetist (CRNA) | WA | $134.4K | 1.9K | $71.55 |
| Arlissa Washington | Certified Registered Nurse Anesthetist (CRNA) | WA | $133.2K | 2.0K | $67.01 |
| Yen Ying Jean Lu | Certified Registered Nurse Anesthetist (CRNA) | CA | $133.0K | 1.2K | $115.36 |
| Misti Crawford | Certified Registered Nurse Anesthetist (CRNA) | OK | $131.3K | 1.7K | $77.58 |
| Michael Folkerts | Certified Registered Nurse Anesthetist (CRNA) | IL | $130.8K | 1.5K | $89.75 |
| Joel Rhodes | Certified Registered Nurse Anesthetist (CRNA) | VA | $126.2K | 1.6K | $81.17 |
| Vinod Bhan | Certified Registered Nurse Anesthetist (CRNA) | CA | $124.6K | 919 | $135.55 |
The data suggests significant pricing inconsistencies for CPT 00142. With a 2.8x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.