Anesthesia for total hip replacement
Medicare pricing data for 51,773 providers across 52 states
This procedure has a 10.2x markup — hospitals charge $2,510 but Medicare allows only $246.57. Uninsured patients may face bills 10.2 times higher than what insurance negotiates. Prices vary significantly by location — from $179 in Alabama to $449 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 total hip replacement (HCPCS code 01214) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $246.57, but hospitals typically charge $2,510 — a 10.2x 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 $246.57, your out-of-pocket cost would be approximately $49.31. 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 10.2x more than what Medicare allows for this procedure. Medicare actually pays $194.99 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $449 | $2,755 | 100 | 448 | +82.1% |
| California | $353 | $2,676 | 3,046 | 14,870 | +43.2% |
| Utah | $348 | $2,226 | 419 | 1,602 | +41.1% |
| Puerto Rico | $332 | $2,946 | 50 | 212 | +34.6% |
| Idaho | $322 | $2,035 | 258 | 1,019 | +30.5% |
| Montana | $321 | $1,875 | 184 | 1,148 | +30.3% |
| Oregon | $319 | $1,987 | 550 | 2,480 | +29.3% |
| Wyoming | $318 | $2,564 | 74 | 351 | +28.8% |
| Washington | $315 | $2,200 | 1,089 | 5,083 | +27.7% |
| New Mexico | $306 | $2,805 | 226 | 943 | +24.3% |
| Arizona | $306 | $3,730 | 899 | 4,695 | +24.1% |
| Nevada | $303 | $2,877 | 305 | 1,460 | +22.9% |
| Hawaii | $301 | $2,046 | 105 | 387 | +22.2% |
| Oklahoma | $296 | $2,320 | 517 | 2,497 | +20.2% |
| Iowa | $289 | $1,864 | 512 | 2,833 | +17.2% |
| Arkansas | $286 | $1,652 | 419 | 1,855 | +16.1% |
| Nebraska | $280 | $1,634 | 408 | 2,165 | +13.4% |
| New York | $279 | $3,808 | 2,444 | 15,145 | +13.3% |
| Maryland | $277 | $2,363 | 815 | 5,260 | +12.2% |
| Colorado | $275 | $2,577 | 867 | 4,076 | +11.6% |
| Indiana | $269 | $2,219 | 1,005 | 5,147 | +9.0% |
| Kansas | $267 | $1,839 | 659 | 3,018 | +8.3% |
| Louisiana | $262 | $2,114 | 743 | 2,662 | +6.3% |
| Delaware | $259 | $2,383 | 185 | 1,083 | +5.0% |
| Florida | $257 | $2,890 | 3,570 | 17,455 | +4.3% |
| New Jersey | $253 | $2,841 | 1,026 | 6,106 | +2.8% |
| Illinois | $253 | $3,076 | 2,037 | 10,579 | +2.5% |
| District of Columbia | $251 | $2,557 | 205 | 915 | +1.9% |
| Texas | $249 | $3,199 | 3,566 | 15,220 | +1.0% |
| New Hampshire | $242 | $2,767 | 334 | 2,016 | -1.8% |
| Missouri | $242 | $1,945 | 1,354 | 5,478 | -2.0% |
| Kentucky | $239 | $2,231 | 800 | 3,525 | -3.2% |
| Rhode Island | $238 | $1,800 | 145 | 727 | -3.3% |
| Vermont | $236 | $1,603 | 115 | 549 | -4.4% |
| Tennessee | $235 | $2,232 | 1,564 | 7,315 | -4.8% |
| Massachusetts | $233 | $1,808 | 1,392 | 8,914 | -5.4% |
| Mississippi | $220 | $1,555 | 469 | 1,963 | -10.9% |
| Wisconsin | $219 | $3,335 | 1,242 | 5,750 | -11.1% |
| Ohio | $218 | $1,917 | 2,359 | 11,940 | -11.5% |
| Connecticut | $214 | $2,459 | 603 | 3,306 | -13.1% |
| North Dakota | $209 | $1,659 | 255 | 1,210 | -15.3% |
| Virginia | $209 | $2,406 | 1,455 | 9,106 | -15.3% |
| West Virginia | $209 | $2,069 | 379 | 1,510 | -15.3% |
| Maine | $207 | $2,163 | 384 | 1,570 | -16.1% |
| South Dakota | $204 | $2,028 | 286 | 1,794 | -17.2% |
| Michigan | $202 | $2,614 | 2,146 | 9,081 | -18.0% |
| South Carolina | $195 | $2,509 | 1,005 | 6,038 | -21.0% |
| Minnesota | $193 | $1,845 | 1,459 | 6,255 | -21.7% |
| Pennsylvania | $192 | $1,988 | 2,935 | 15,202 | -22.0% |
| North Carolina | $191 | $2,522 | 2,028 | 9,980 | -22.7% |
| Georgia | $184 | $2,105 | 1,839 | 8,597 | -25.4% |
| Alabama | $179 | $1,834 | 885 | 3,689 | -27.2% |
⚠️ 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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