Anesthesia for procedure for total knee joint replacement
Medicare pricing data for 58,762 providers across 52 states
This procedure has a 10.2x markup — hospitals charge $2,353 but Medicare allows only $230.88. Uninsured patients may face bills 10.2 times higher than what insurance negotiates. Prices vary significantly by location — from $169 in Alabama to $407 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 for total knee joint replacement (HCPCS code 01402) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $230.88, but hospitals typically charge $2,353 — a 10.2x 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 $230.88, your out-of-pocket cost would be approximately $46.18. 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 10.2x more than what Medicare allows for this procedure. Medicare actually pays $182.62 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $407 | $2,639 | 121 | 873 | +76.2% |
| California | $334 | $2,575 | 3,480 | 25,660 | +44.6% |
| Puerto Rico | $323 | $2,418 | 61 | 393 | +40.0% |
| Utah | $317 | $2,000 | 484 | 3,481 | +37.3% |
| Montana | $313 | $1,875 | 203 | 1,853 | +35.6% |
| Wyoming | $301 | $2,445 | 80 | 630 | +30.5% |
| Oregon | $300 | $1,892 | 579 | 3,806 | +29.8% |
| Idaho | $299 | $1,874 | 274 | 1,855 | +29.6% |
| Hawaii | $295 | $2,004 | 117 | 598 | +27.9% |
| Washington | $295 | $2,046 | 1,179 | 8,074 | +27.8% |
| Arizona | $289 | $3,441 | 1,050 | 8,415 | +25.1% |
| Oklahoma | $284 | $2,200 | 582 | 5,685 | +22.8% |
| Nevada | $280 | $2,661 | 316 | 2,462 | +21.4% |
| Arkansas | $279 | $1,583 | 512 | 4,337 | +20.9% |
| New Mexico | $275 | $2,634 | 258 | 1,913 | +19.1% |
| Nebraska | $267 | $1,550 | 461 | 4,481 | +15.8% |
| Iowa | $266 | $1,736 | 555 | 5,611 | +15.4% |
| New York | $262 | $3,620 | 2,696 | 23,494 | +13.6% |
| Maryland | $262 | $2,327 | 897 | 9,419 | +13.5% |
| Colorado | $256 | $2,428 | 994 | 7,132 | +10.8% |
| Indiana | $250 | $2,091 | 1,129 | 10,486 | +8.5% |
| Kansas | $249 | $1,724 | 755 | 6,872 | +7.9% |
| Louisiana | $248 | $1,910 | 939 | 5,826 | +7.3% |
| Florida | $246 | $2,777 | 4,029 | 29,403 | +6.6% |
| Delaware | $246 | $2,195 | 209 | 2,400 | +6.3% |
| District of Columbia | $244 | $2,467 | 224 | 1,495 | +5.6% |
| Illinois | $237 | $2,915 | 2,303 | 20,026 | +2.8% |
| New Jersey | $237 | $2,766 | 1,153 | 10,718 | +2.7% |
| Texas | $228 | $2,982 | 4,282 | 34,258 | -1.3% |
| Kentucky | $227 | $2,099 | 947 | 7,601 | -1.8% |
| Tennessee | $226 | $2,111 | 1,801 | 14,141 | -2.2% |
| New Hampshire | $222 | $2,639 | 367 | 3,300 | -3.8% |
| Missouri | $221 | $1,826 | 1,566 | 11,788 | -4.2% |
| Rhode Island | $220 | $1,744 | 155 | 1,199 | -4.5% |
| Vermont | $219 | $1,630 | 121 | 830 | -5.1% |
| Massachusetts | $213 | $1,658 | 1,477 | 14,812 | -7.5% |
| Mississippi | $211 | $1,392 | 527 | 4,441 | -8.7% |
| Wisconsin | $210 | $3,116 | 1,299 | 9,092 | -9.2% |
| Ohio | $206 | $1,804 | 2,699 | 22,926 | -11.0% |
| Connecticut | $204 | $2,286 | 654 | 5,199 | -11.7% |
| Maine | $199 | $2,064 | 398 | 2,581 | -13.7% |
| North Dakota | $197 | $1,633 | 283 | 2,098 | -14.6% |
| Virginia | $197 | $2,213 | 1,611 | 16,950 | -14.7% |
| West Virginia | $195 | $2,102 | 454 | 3,200 | -15.6% |
| South Dakota | $192 | $1,941 | 324 | 3,584 | -16.8% |
| Michigan | $192 | $2,479 | 2,423 | 15,465 | -17.0% |
| Minnesota | $181 | $1,728 | 1,617 | 10,466 | -21.6% |
| South Carolina | $181 | $2,341 | 1,165 | 11,992 | -21.7% |
| North Carolina | $180 | $2,388 | 2,267 | 19,094 | -22.1% |
| Pennsylvania | $179 | $1,859 | 3,329 | 29,217 | -22.3% |
| Georgia | $179 | $2,036 | 2,161 | 16,284 | -22.4% |
| Alabama | $169 | $1,826 | 1,117 | 8,215 | -27.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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