01400

Anesthesia for other procedure or exam of knee joint using an endoscope

Medicare pricing data for 38,782 providers across 52 states

🤖AI Overview

This procedure has a 10.2x markup — hospitals charge $1,356 but Medicare allows only $132.27. Uninsured patients may face bills 10.2 times higher than what insurance negotiates. Prices vary significantly by location — from $91 in Alabama to $214 in Puerto Rico. 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 other procedure or exam of knee joint using an endoscope (HCPCS code 01400) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $132.27, but hospitals typically charge $1,356 — a 10.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.45

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $132.27, your out-of-pocket cost would be approximately $26.45. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$132.27
Average Hospital Charge
$1,356
Markup Ratio
10.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,355.65
Medicare Allowed$132.27
Medicare Payment$104.07

Hospitals charge 10.2x more than what Medicare allows for this procedure. Medicare actually pays $104.07 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$214$9593983+62.1%
Alaska$206$1,42089268+55.4%
California$188$1,4992,4507,638+41.8%
Hawaii$176$1,27079195+33.1%
Montana$173$1,194127390+30.8%
Idaho$170$987171441+28.4%
Washington$167$1,1317272,082+25.9%
Arizona$166$2,0826832,090+25.7%
Utah$162$944311812+22.5%
Oregon$160$1,0283751,064+21.3%
Wyoming$159$1,32863258+20.5%
New Mexico$158$1,578173401+19.5%
Maryland$154$1,4086382,361+16.8%
Oklahoma$154$1,1954771,654+16.7%
Indiana$154$1,2457872,290+16.1%
Nevada$151$1,452229910+14.4%
Nebraska$147$941284702+11.4%
New York$147$2,0311,8895,350+11.2%
Colorado$146$1,5146331,725+10.5%
Iowa$145$926380953+9.9%
New Jersey$143$1,5988262,401+8.2%
Illinois$143$1,6401,4693,989+8.1%
Arkansas$143$8823771,445+8.1%
New Hampshire$143$1,429231651+7.9%
Florida$142$1,6032,5327,526+7.2%
Louisiana$138$1,1186471,595+4.5%
District of Columbia$137$1,457139367+3.5%
Vermont$136$1,14970173+3.1%
Kansas$135$1,0685241,538+2.1%
Texas$132$1,7642,8728,286+0.1%
Missouri$128$1,1071,0322,709-3.4%
Kentucky$127$1,1366121,689-4.0%
Tennessee$124$1,1941,1593,734-6.6%
North Dakota$122$901155396-7.5%
Massachusetts$121$1,0041,1133,434-8.4%
Mississippi$120$8283461,464-9.3%
Delaware$119$1,263126426-10.0%
Wisconsin$118$1,8138412,127-10.8%
Maine$114$1,102234537-13.5%
Ohio$114$9791,7165,130-13.7%
Virginia$112$1,4041,0723,456-15.2%
Rhode Island$112$931115356-15.5%
Minnesota$111$1,0838241,895-16.5%
Connecticut$109$1,2194561,380-17.7%
South Dakota$108$1,094217662-18.0%
Michigan$107$1,4461,4404,152-19.3%
West Virginia$106$850285769-20.1%
South Carolina$104$1,2568343,064-21.4%
Georgia$104$1,2121,4314,328-21.6%
Pennsylvania$103$1,0732,1025,609-22.0%
North Carolina$103$1,3731,5064,611-22.2%
Alabama$91$8358052,698-31.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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