Anesthesia for procedure on upper 2/3rd of thigh bone
Medicare pricing data for 49,472 providers across 52 states
This procedure has a 10.3x markup — hospitals charge $2,077 but Medicare allows only $202.25. Uninsured patients may face bills 10.3 times higher than what insurance negotiates. Prices vary significantly by location — from $150 in Alabama to $346 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 procedure on upper 2/3rd of thigh bone (HCPCS code 01230) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $202.25, but hospitals typically charge $2,077 — a 10.3x 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 $202.25, your out-of-pocket cost would be approximately $40.45. 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 10.3x more than what Medicare allows for this procedure. Medicare actually pays $159.46 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $346 | $2,157 | 96 | 213 | +70.9% |
| California | $285 | $2,236 | 2,949 | 8,544 | +40.9% |
| Utah | $282 | $1,787 | 310 | 666 | +39.4% |
| Puerto Rico | $280 | $1,809 | 59 | 142 | +38.3% |
| Oregon | $277 | $1,834 | 411 | 972 | +36.8% |
| Montana | $274 | $1,582 | 158 | 422 | +35.4% |
| Wyoming | $273 | $2,296 | 60 | 172 | +34.8% |
| Idaho | $266 | $1,820 | 197 | 486 | +31.3% |
| Washington | $262 | $1,905 | 951 | 2,346 | +29.6% |
| Nebraska | $247 | $1,617 | 380 | 988 | +22.2% |
| Iowa | $244 | $1,616 | 451 | 1,314 | +20.6% |
| Hawaii | $242 | $1,616 | 92 | 233 | +19.4% |
| Arkansas | $236 | $1,422 | 459 | 1,605 | +16.7% |
| New Mexico | $235 | $2,163 | 251 | 684 | +16.1% |
| New York | $233 | $2,933 | 2,557 | 7,810 | +15.1% |
| Arizona | $233 | $2,638 | 841 | 2,655 | +15.1% |
| District of Columbia | $232 | $1,988 | 197 | 478 | +14.9% |
| Nevada | $231 | $2,245 | 288 | 886 | +14.1% |
| New Jersey | $228 | $2,781 | 1,133 | 3,681 | +12.8% |
| Maryland | $223 | $2,303 | 807 | 2,712 | +10.5% |
| Indiana | $221 | $1,834 | 961 | 2,757 | +9.1% |
| Oklahoma | $221 | $2,049 | 503 | 1,648 | +9.0% |
| Kansas | $219 | $1,406 | 603 | 1,814 | +8.2% |
| Illinois | $217 | $2,659 | 1,852 | 5,798 | +7.4% |
| Delaware | $213 | $1,965 | 189 | 634 | +5.5% |
| Colorado | $209 | $1,981 | 791 | 1,913 | +3.1% |
| Massachusetts | $208 | $1,688 | 1,321 | 4,582 | +2.8% |
| Kentucky | $208 | $1,758 | 822 | 2,362 | +2.8% |
| Rhode Island | $208 | $1,783 | 125 | 404 | +2.7% |
| Florida | $205 | $2,335 | 3,594 | 10,945 | +1.4% |
| Vermont | $204 | $1,323 | 111 | 337 | +0.8% |
| Wisconsin | $196 | $2,795 | 1,072 | 2,606 | -2.9% |
| Tennessee | $194 | $1,861 | 1,378 | 3,822 | -4.1% |
| Texas | $193 | $2,426 | 3,630 | 10,250 | -4.5% |
| Louisiana | $193 | $1,580 | 740 | 2,228 | -4.7% |
| New Hampshire | $193 | $2,400 | 306 | 974 | -4.8% |
| Ohio | $190 | $1,604 | 2,233 | 5,946 | -6.1% |
| Missouri | $188 | $1,633 | 1,248 | 3,915 | -7.0% |
| Connecticut | $187 | $2,265 | 673 | 2,057 | -7.5% |
| North Dakota | $176 | $1,572 | 246 | 832 | -12.9% |
| Virginia | $173 | $2,064 | 1,384 | 4,684 | -14.4% |
| Michigan | $171 | $2,241 | 1,831 | 5,167 | -15.4% |
| Maine | $170 | $1,853 | 335 | 944 | -16.1% |
| West Virginia | $169 | $1,620 | 383 | 1,108 | -16.7% |
| Mississippi | $168 | $1,233 | 468 | 1,936 | -16.9% |
| Pennsylvania | $166 | $1,828 | 2,933 | 8,868 | -17.8% |
| Minnesota | $165 | $1,601 | 1,192 | 3,184 | -18.6% |
| Georgia | $159 | $1,721 | 1,726 | 5,474 | -21.3% |
| North Carolina | $159 | $2,035 | 1,803 | 5,292 | -21.4% |
| South Dakota | $153 | $1,739 | 247 | 822 | -24.5% |
| South Carolina | $152 | $2,029 | 1,111 | 3,777 | -24.6% |
| Alabama | $150 | $1,462 | 947 | 3,116 | -25.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber