Anesthesia for procedure on kneecap and/or upper part of lower leg bones
Medicare pricing data for 16,795 providers across 52 states
This procedure has a 10.3x markup — hospitals charge $1,944 but Medicare allows only $188.41. Uninsured patients may face bills 10.3 times higher than what insurance negotiates. Prices vary significantly by location — from $139 in South Carolina to $321 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 kneecap and/or upper part of lower leg bones (HCPCS code 01392) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $188.41, but hospitals typically charge $1,944 — 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 $188.41, your out-of-pocket cost would be approximately $37.68. 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 $148.10 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $321 | $1,869 | 37 | 43 | +70.3% |
| Montana | $269 | $1,498 | 53 | 68 | +42.9% |
| California | $264 | $2,065 | 1,125 | 1,521 | +39.9% |
| Utah | $252 | $1,585 | 116 | 157 | +33.8% |
| Hawaii | $251 | $1,747 | 25 | 30 | +33.3% |
| Puerto Rico | $249 | $1,222 | 16 | 18 | +32.4% |
| Oregon | $247 | $1,598 | 158 | 194 | +31.1% |
| Idaho | $234 | $1,632 | 68 | 81 | +24.4% |
| Washington | $231 | $1,744 | 361 | 447 | +22.8% |
| Nebraska | $231 | $1,527 | 140 | 172 | +22.5% |
| District of Columbia | $226 | $1,922 | 77 | 92 | +20.1% |
| Arizona | $223 | $2,539 | 315 | 413 | +18.6% |
| Nevada | $222 | $2,057 | 124 | 167 | +18.1% |
| New York | $218 | $2,817 | 777 | 1,023 | +15.6% |
| New Mexico | $217 | $2,048 | 77 | 102 | +15.4% |
| Maryland | $215 | $2,056 | 303 | 404 | +13.9% |
| New Jersey | $214 | $2,563 | 349 | 448 | +13.6% |
| Delaware | $214 | $1,833 | 62 | 90 | +13.4% |
| Iowa | $207 | $1,427 | 144 | 174 | +9.8% |
| Indiana | $205 | $1,763 | 287 | 368 | +8.5% |
| Wyoming | $203 | $1,984 | 22 | 28 | +7.9% |
| Illinois | $201 | $2,495 | 641 | 805 | +6.7% |
| Colorado | $196 | $1,908 | 318 | 415 | +4.2% |
| Arkansas | $196 | $1,428 | 129 | 158 | +3.9% |
| Massachusetts | $194 | $1,534 | 414 | 541 | +2.8% |
| Florida | $193 | $2,129 | 1,244 | 1,599 | +2.6% |
| Rhode Island | $193 | $1,669 | 27 | 32 | +2.4% |
| Oklahoma | $190 | $1,785 | 209 | 268 | +1.0% |
| Kansas | $190 | $1,400 | 220 | 275 | +0.7% |
| Kentucky | $189 | $1,758 | 264 | 341 | +0.1% |
| Connecticut | $187 | $2,133 | 217 | 271 | -0.8% |
| Vermont | $182 | $1,262 | 33 | 41 | -3.2% |
| Texas | $178 | $2,254 | 1,291 | 1,659 | -5.4% |
| New Hampshire | $178 | $2,485 | 84 | 102 | -5.8% |
| Tennessee | $177 | $1,621 | 508 | 660 | -5.8% |
| Louisiana | $177 | $1,445 | 270 | 330 | -6.2% |
| Wisconsin | $172 | $2,650 | 303 | 385 | -8.7% |
| Ohio | $171 | $1,507 | 651 | 805 | -9.3% |
| Missouri | $167 | $1,449 | 465 | 616 | -11.2% |
| Maine | $162 | $2,007 | 86 | 110 | -14.2% |
| Michigan | $160 | $2,179 | 551 | 717 | -14.9% |
| Pennsylvania | $157 | $1,663 | 849 | 1,056 | -16.4% |
| Mississippi | $157 | $1,063 | 181 | 237 | -16.9% |
| Virginia | $156 | $1,953 | 518 | 683 | -17.0% |
| West Virginia | $152 | $1,772 | 94 | 118 | -19.1% |
| Minnesota | $150 | $1,467 | 390 | 473 | -20.2% |
| North Carolina | $146 | $1,869 | 648 | 840 | -22.4% |
| Georgia | $144 | $1,678 | 589 | 751 | -23.3% |
| North Dakota | $143 | $1,281 | 71 | 88 | -24.1% |
| South Dakota | $140 | $1,642 | 97 | 131 | -25.9% |
| Alabama | $139 | $1,487 | 329 | 435 | -26.0% |
| South Carolina | $139 | $1,973 | 397 | 536 | -26.2% |
⚠️ 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