Anesthesia for revision of total hip replacement
Medicare pricing data for 16,940 providers across 52 states
This procedure has a 10.4x markup — hospitals charge $3,321 but Medicare allows only $319.98. Uninsured patients may face bills 10.4 times higher than what insurance negotiates. Prices vary significantly by location — from $228 in Alabama to $517 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 revision of total hip replacement (HCPCS code 01215) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $319.98, but hospitals typically charge $3,321 — a 10.4x 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 $319.98, your out-of-pocket cost would be approximately $64.00. 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 10.4x more than what Medicare allows for this procedure. Medicare actually pays $253.90 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $517 | $2,948 | 26 | 46 | +61.6% |
| Utah | $459 | $2,836 | 136 | 169 | +43.5% |
| Montana | $456 | $2,494 | 71 | 92 | +42.5% |
| Idaho | $450 | $3,267 | 66 | 85 | +40.7% |
| California | $449 | $3,638 | 962 | 1,435 | +40.3% |
| Puerto Rico | $438 | $3,981 | 15 | 26 | +36.8% |
| Oregon | $415 | $2,557 | 155 | 206 | +29.6% |
| Nebraska | $413 | $2,377 | 108 | 165 | +29.1% |
| Hawaii | $411 | $3,231 | 30 | 40 | +28.6% |
| New Mexico | $410 | $3,925 | 71 | 98 | +28.1% |
| Wyoming | $406 | $3,415 | 23 | 27 | +26.7% |
| Nevada | $398 | $3,828 | 105 | 132 | +24.5% |
| Arizona | $395 | $4,535 | 354 | 518 | +23.6% |
| Washington | $391 | $2,847 | 340 | 470 | +22.1% |
| Oklahoma | $380 | $2,758 | 210 | 334 | +18.6% |
| Iowa | $374 | $2,351 | 141 | 196 | +17.0% |
| Delaware | $370 | $3,038 | 72 | 114 | +15.7% |
| New York | $363 | $4,814 | 931 | 1,421 | +13.4% |
| Maryland | $357 | $3,584 | 314 | 533 | +11.5% |
| Arkansas | $343 | $1,868 | 152 | 309 | +7.1% |
| New Jersey | $340 | $3,600 | 333 | 463 | +6.2% |
| Indiana | $336 | $2,988 | 342 | 529 | +5.0% |
| Florida | $335 | $3,696 | 1,236 | 1,930 | +4.8% |
| District of Columbia | $332 | $3,357 | 86 | 133 | +3.7% |
| Illinois | $331 | $4,065 | 664 | 1,019 | +3.6% |
| Colorado | $331 | $3,130 | 296 | 392 | +3.4% |
| Rhode Island | $328 | $2,661 | 48 | 55 | +2.6% |
| Kansas | $322 | $1,911 | 214 | 299 | +0.6% |
| Massachusetts | $318 | $2,417 | 517 | 791 | -0.8% |
| Missouri | $310 | $2,544 | 415 | 557 | -3.1% |
| Texas | $308 | $4,262 | 1,179 | 1,821 | -3.8% |
| Tennessee | $306 | $2,994 | 422 | 622 | -4.4% |
| Vermont | $303 | $1,996 | 32 | 37 | -5.4% |
| Louisiana | $302 | $2,422 | 231 | 321 | -5.7% |
| Kentucky | $299 | $2,988 | 242 | 365 | -6.5% |
| North Dakota | $298 | $2,092 | 87 | 129 | -6.8% |
| Ohio | $294 | $2,539 | 694 | 1,019 | -8.1% |
| New Hampshire | $287 | $4,629 | 110 | 167 | -10.3% |
| Wisconsin | $286 | $4,474 | 399 | 534 | -10.5% |
| Connecticut | $278 | $3,235 | 215 | 347 | -13.0% |
| West Virginia | $278 | $2,645 | 120 | 178 | -13.1% |
| Virginia | $276 | $3,426 | 484 | 710 | -13.8% |
| Michigan | $271 | $3,705 | 657 | 895 | -15.2% |
| Maine | $271 | $2,913 | 108 | 137 | -15.2% |
| Pennsylvania | $262 | $2,489 | 936 | 1,384 | -18.1% |
| South Dakota | $262 | $3,057 | 112 | 192 | -18.2% |
| Minnesota | $259 | $2,523 | 487 | 718 | -19.1% |
| North Carolina | $253 | $3,170 | 611 | 990 | -21.0% |
| Mississippi | $252 | $2,064 | 160 | 240 | -21.3% |
| South Carolina | $250 | $3,487 | 329 | 521 | -21.8% |
| Georgia | $244 | $2,879 | 593 | 830 | -23.8% |
| Alabama | $228 | $2,584 | 279 | 440 | -28.8% |
⚠️ 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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