Anesthesia for closed procedure on upper 2/3rd of thigh bone
Medicare pricing data for 10,498 providers across 51 states
This procedure has a 10.4x markup — hospitals charge $1,484 but Medicare allows only $142.78. Uninsured patients may face bills 10.4 times higher than what insurance negotiates. Prices vary significantly by location — from $100 in Alabama to $256 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 closed procedure on upper 2/3rd of thigh bone (HCPCS code 01220) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $142.78, but hospitals typically charge $1,484 — 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 $142.78, your out-of-pocket cost would be approximately $28.56. 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 $111.96 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $256 | $1,410 | 27 | 35 | +79.3% |
| California | $201 | $1,604 | 624 | 769 | +41.0% |
| Oregon | $194 | $1,466 | 84 | 105 | +35.9% |
| Utah | $190 | $1,236 | 75 | 91 | +33.4% |
| Hawaii | $185 | $1,385 | 17 | 22 | +29.6% |
| Idaho | $183 | $1,353 | 47 | 57 | +28.5% |
| Montana | $183 | $1,023 | 52 | 63 | +28.1% |
| Wyoming | $181 | $1,550 | 14 | 17 | +26.9% |
| Washington | $178 | $1,291 | 216 | 264 | +25.0% |
| Nebraska | $178 | $1,102 | 75 | 100 | +24.6% |
| New Mexico | $176 | $1,709 | 46 | 54 | +23.5% |
| Nevada | $170 | $1,552 | 93 | 115 | +18.7% |
| New York | $168 | $2,324 | 597 | 777 | +17.9% |
| Arkansas | $168 | $1,051 | 78 | 97 | +17.4% |
| Iowa | $167 | $1,088 | 87 | 112 | +17.3% |
| Arizona | $167 | $1,795 | 208 | 247 | +16.8% |
| District of Columbia | $161 | $1,519 | 38 | 48 | +12.9% |
| New Jersey | $160 | $1,650 | 236 | 283 | +12.1% |
| Maryland | $160 | $1,686 | 192 | 250 | +12.0% |
| Indiana | $157 | $1,313 | 190 | 226 | +9.8% |
| Kansas | $154 | $899 | 97 | 114 | +7.7% |
| Illinois | $150 | $1,830 | 399 | 497 | +4.9% |
| Colorado | $148 | $1,480 | 165 | 194 | +3.8% |
| Florida | $147 | $1,631 | 704 | 882 | +3.0% |
| Oklahoma | $146 | $1,614 | 96 | 137 | +2.6% |
| Rhode Island | $146 | $1,227 | 33 | 37 | +2.6% |
| Kentucky | $145 | $1,499 | 144 | 163 | +1.4% |
| New Hampshire | $140 | $1,659 | 81 | 99 | -1.7% |
| Tennessee | $140 | $1,335 | 314 | 385 | -2.2% |
| Massachusetts | $139 | $1,173 | 412 | 593 | -2.4% |
| Ohio | $138 | $1,082 | 351 | 397 | -3.5% |
| Wisconsin | $135 | $2,061 | 192 | 249 | -5.2% |
| Missouri | $132 | $1,241 | 279 | 356 | -7.3% |
| Vermont | $131 | $1,149 | 29 | 44 | -8.0% |
| Connecticut | $131 | $1,698 | 165 | 212 | -8.3% |
| North Dakota | $130 | $1,252 | 32 | 37 | -8.8% |
| Texas | $130 | $1,693 | 839 | 1,057 | -9.1% |
| Louisiana | $128 | $1,048 | 125 | 222 | -10.4% |
| Maine | $123 | $1,363 | 76 | 92 | -13.6% |
| Virginia | $122 | $1,524 | 319 | 408 | -14.3% |
| Pennsylvania | $121 | $1,216 | 548 | 667 | -15.5% |
| West Virginia | $120 | $1,286 | 50 | 61 | -16.0% |
| Michigan | $119 | $1,586 | 325 | 380 | -16.7% |
| Minnesota | $116 | $1,132 | 259 | 310 | -18.7% |
| Georgia | $116 | $1,166 | 357 | 455 | -19.0% |
| South Dakota | $116 | $1,474 | 47 | 60 | -19.1% |
| South Carolina | $113 | $1,326 | 211 | 255 | -20.6% |
| Delaware | $113 | $1,400 | 32 | 50 | -20.6% |
| North Carolina | $112 | $1,470 | 431 | 560 | -21.7% |
| Mississippi | $110 | $911 | 151 | 264 | -23.0% |
| Alabama | $100 | $1,121 | 229 | 330 | -29.6% |
⚠️ 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