Anesthesia for procedure on lower 1/3rd of thigh bone
Medicare pricing data for 13,396 providers across 52 states
This procedure has a 10.4x markup — hospitals charge $2,230 but Medicare allows only $215.43. Uninsured patients may face bills 10.4 times higher than what insurance negotiates. Prices vary significantly by location — from $150 in Alabama to $370 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 lower 1/3rd of thigh bone (HCPCS code 01360) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $215.43, but hospitals typically charge $2,230 — 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 $215.43, your out-of-pocket cost would be approximately $43.09. 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 $170.18 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $370 | $2,291 | 28 | 31 | +72.0% |
| Utah | $336 | $2,062 | 85 | 98 | +55.8% |
| Wyoming | $330 | $1,983 | 16 | 24 | +53.2% |
| Oregon | $303 | $2,019 | 121 | 141 | +40.5% |
| Montana | $298 | $1,602 | 53 | 64 | +38.2% |
| California | $296 | $2,396 | 792 | 969 | +37.3% |
| Idaho | $290 | $2,032 | 62 | 69 | +34.5% |
| Iowa | $280 | $1,745 | 144 | 198 | +29.7% |
| Washington | $276 | $2,130 | 245 | 315 | +27.9% |
| Puerto Rico | $275 | $2,295 | 12 | 13 | +27.7% |
| Arizona | $271 | $3,050 | 225 | 266 | +25.7% |
| Nevada | $268 | $2,582 | 86 | 108 | +24.4% |
| Nebraska | $261 | $1,597 | 112 | 141 | +21.2% |
| District of Columbia | $250 | $1,951 | 60 | 74 | +16.2% |
| New York | $249 | $3,174 | 605 | 741 | +15.7% |
| Massachusetts | $244 | $1,863 | 370 | 469 | +13.1% |
| Rhode Island | $242 | $2,446 | 26 | 30 | +12.1% |
| New Mexico | $240 | $2,430 | 49 | 60 | +11.4% |
| Illinois | $236 | $2,786 | 471 | 575 | +9.6% |
| New Jersey | $233 | $2,883 | 299 | 382 | +8.3% |
| Maryland | $229 | $2,229 | 262 | 379 | +6.4% |
| Arkansas | $226 | $1,700 | 112 | 144 | +4.8% |
| Florida | $225 | $2,593 | 1,014 | 1,266 | +4.2% |
| Kentucky | $222 | $1,833 | 198 | 231 | +3.0% |
| Oklahoma | $221 | $2,119 | 173 | 233 | +2.6% |
| New Hampshire | $221 | $3,253 | 78 | 93 | +2.6% |
| Colorado | $219 | $2,144 | 197 | 231 | +1.6% |
| Delaware | $218 | $1,935 | 45 | 54 | +1.0% |
| Kansas | $213 | $1,421 | 165 | 202 | -1.1% |
| Vermont | $211 | $1,319 | 31 | 40 | -2.0% |
| Hawaii | $210 | $1,865 | 23 | 25 | -2.5% |
| Indiana | $210 | $1,958 | 314 | 416 | -2.6% |
| Connecticut | $208 | $2,156 | 159 | 197 | -3.5% |
| Wisconsin | $207 | $3,166 | 242 | 299 | -3.7% |
| Ohio | $207 | $1,830 | 553 | 667 | -4.1% |
| Louisiana | $205 | $1,743 | 192 | 220 | -4.7% |
| Texas | $201 | $2,698 | 1,028 | 1,266 | -6.7% |
| Tennessee | $200 | $2,067 | 400 | 495 | -7.0% |
| Michigan | $191 | $2,553 | 449 | 514 | -11.5% |
| Mississippi | $188 | $1,266 | 156 | 194 | -12.8% |
| Missouri | $187 | $1,678 | 415 | 562 | -13.2% |
| Maine | $186 | $2,252 | 92 | 115 | -13.5% |
| Pennsylvania | $179 | $1,825 | 706 | 847 | -17.1% |
| Virginia | $177 | $2,185 | 415 | 538 | -17.6% |
| South Dakota | $176 | $1,912 | 85 | 101 | -18.1% |
| West Virginia | $172 | $1,977 | 83 | 108 | -20.0% |
| North Dakota | $171 | $1,830 | 57 | 69 | -20.8% |
| Minnesota | $168 | $1,666 | 347 | 412 | -22.1% |
| North Carolina | $167 | $1,999 | 538 | 690 | -22.4% |
| Georgia | $166 | $1,789 | 470 | 573 | -22.7% |
| South Carolina | $158 | $2,181 | 314 | 407 | -26.5% |
| Alabama | $150 | $1,678 | 181 | 225 | -30.3% |
⚠️ 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