Anesthesia for procedure on nerves, muscles, tendons, and tissue of upper leg
Medicare pricing data for 15,089 providers across 52 states
This procedure has a 10.3x markup — hospitals charge $1,559 but Medicare allows only $151.79. Uninsured patients may face bills 10.3 times higher than what insurance negotiates. Prices vary significantly by location — from $115 in North Dakota to $266 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 nerves, muscles, tendons, and tissue of upper leg (HCPCS code 01250) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $151.79, but hospitals typically charge $1,559 — 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 $151.79, your out-of-pocket cost would be approximately $30.36. 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 $119.65 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $266 | $1,713 | 34 | 41 | +75.4% |
| California | $210 | $1,686 | 951 | 1,186 | +38.5% |
| Utah | $204 | $1,311 | 92 | 119 | +34.4% |
| Puerto Rico | $202 | $1,247 | 15 | 17 | +32.8% |
| Wyoming | $196 | $1,611 | 15 | 15 | +29.3% |
| Idaho | $191 | $1,242 | 53 | 68 | +25.8% |
| Washington | $190 | $1,439 | 329 | 382 | +25.1% |
| Montana | $187 | $1,154 | 52 | 60 | +23.3% |
| Nebraska | $184 | $1,125 | 126 | 154 | +21.3% |
| Iowa | $182 | $1,162 | 103 | 121 | +19.8% |
| New Mexico | $180 | $1,635 | 65 | 77 | +18.6% |
| Oregon | $179 | $1,080 | 145 | 182 | +17.8% |
| Indiana | $171 | $1,420 | 275 | 334 | +12.8% |
| Maryland | $170 | $1,550 | 287 | 378 | +12.2% |
| Nevada | $169 | $1,935 | 96 | 120 | +11.1% |
| Colorado | $167 | $1,656 | 291 | 384 | +9.7% |
| New York | $165 | $2,076 | 885 | 1,188 | +8.7% |
| Massachusetts | $164 | $1,274 | 457 | 606 | +8.3% |
| Missouri | $162 | $1,332 | 361 | 436 | +6.4% |
| Illinois | $161 | $1,955 | 523 | 642 | +5.9% |
| Arkansas | $161 | $1,061 | 130 | 163 | +5.8% |
| Florida | $158 | $1,716 | 1,075 | 1,358 | +4.2% |
| New Hampshire | $157 | $1,879 | 71 | 84 | +3.5% |
| District of Columbia | $157 | $1,281 | 77 | 82 | +3.4% |
| Kentucky | $156 | $1,425 | 192 | 229 | +2.5% |
| Vermont | $154 | $873 | 28 | 36 | +1.5% |
| Oklahoma | $153 | $1,421 | 165 | 217 | +1.1% |
| Arizona | $153 | $2,355 | 269 | 400 | +0.7% |
| Texas | $151 | $1,960 | 1,081 | 1,449 | -0.8% |
| Tennessee | $148 | $1,494 | 405 | 477 | -2.4% |
| Louisiana | $147 | $1,335 | 224 | 275 | -2.9% |
| Delaware | $146 | $1,426 | 56 | 64 | -3.9% |
| Connecticut | $142 | $1,642 | 171 | 208 | -6.4% |
| Ohio | $141 | $1,286 | 676 | 822 | -7.0% |
| New Jersey | $138 | $1,366 | 303 | 447 | -8.9% |
| Wisconsin | $138 | $2,177 | 345 | 419 | -9.1% |
| Hawaii | $134 | $2,212 | 22 | 70 | -11.7% |
| Virginia | $130 | $1,565 | 357 | 436 | -14.2% |
| Kansas | $130 | $754 | 242 | 360 | -14.7% |
| Minnesota | $129 | $1,299 | 388 | 450 | -14.8% |
| Pennsylvania | $127 | $1,139 | 925 | 1,186 | -16.1% |
| South Dakota | $127 | $1,551 | 88 | 122 | -16.4% |
| North Carolina | $127 | $1,514 | 555 | 666 | -16.6% |
| Georgia | $125 | $1,283 | 483 | 583 | -17.5% |
| Rhode Island | $124 | $911 | 40 | 50 | -18.4% |
| Maine | $124 | $1,460 | 78 | 90 | -18.6% |
| Michigan | $123 | $1,778 | 491 | 641 | -18.9% |
| South Carolina | $121 | $1,647 | 370 | 488 | -20.0% |
| Mississippi | $118 | $786 | 144 | 197 | -22.3% |
| West Virginia | $117 | $990 | 107 | 134 | -22.8% |
| Alabama | $116 | $1,293 | 244 | 290 | -23.7% |
| North Dakota | $115 | $1,033 | 68 | 87 | -24.0% |
⚠️ 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