01470

Anesthesia for other procedure on nerves, muscles, tendons, and tissue of lower leg, ankle, and foot

Medicare pricing data for 25,558 providers across 52 states

🤖AI Overview

This procedure has a 10.5x markup — hospitals charge $1,256 but Medicare allows only $120.03. Uninsured patients may face bills 10.5 times higher than what insurance negotiates. Prices vary significantly by location — from $83 in Alabama to $202 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 other procedure on nerves, muscles, tendons, and tissue of lower leg, ankle, and foot (HCPCS code 01470) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $120.03, but hospitals typically charge $1,256 — a 10.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.01

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $120.03, your out-of-pocket cost would be approximately $24.01. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$120.03
Average Hospital Charge
$1,256
Markup Ratio
10.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,256.42
Medicare Allowed$120.03
Medicare Payment$94.37

Hospitals charge 10.5x more than what Medicare allows for this procedure. Medicare actually pays $94.37 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$202$1,3706189+68.3%
Puerto Rico$171$9943039+42.3%
California$170$1,3311,6022,470+41.7%
Utah$159$1,143195351+32.5%
Montana$158$88598165+32.0%
Idaho$158$982104137+32.0%
New Mexico$153$1,449102132+27.6%
Washington$152$1,093521810+26.5%
Wyoming$149$1,0924176+23.8%
Nevada$146$1,471136203+22.0%
Arizona$145$1,691489765+20.8%
Oregon$145$942254388+20.6%
Colorado$140$1,416415621+16.4%
New York$136$1,8481,2561,745+13.5%
Indiana$135$1,127553859+12.3%
Maryland$134$1,198474814+11.4%
Nebraska$133$909207346+11.2%
New Jersey$131$1,5936511,050+8.9%
Oklahoma$130$1,193294462+7.9%
District of Columbia$128$1,010138252+6.3%
Hawaii$127$8153745+6.0%
Iowa$125$851252401+3.9%
Florida$124$1,3701,7232,600+3.7%
Louisiana$122$1,538350512+2.0%
Massachusetts$122$1,0127041,057+1.3%
Kansas$121$903323463+1.0%
Texas$121$1,6911,9193,107+1.0%
Arkansas$120$1,027222378+0.4%
Illinois$120$1,4819261,375+0.0%
New Hampshire$117$1,594155221-2.5%
Tennessee$114$1,145624881-4.9%
Missouri$113$1,040649925-5.6%
Kentucky$113$1,003325505-5.7%
Wisconsin$112$1,589491654-6.7%
Ohio$109$9761,2021,778-9.4%
Vermont$107$8365176-10.5%
Maine$104$1,299130157-13.1%
Connecticut$104$1,227346526-13.4%
Virginia$103$1,2567161,162-14.1%
Delaware$103$1,028117221-14.3%
Rhode Island$103$8276578-14.4%
Georgia$100$1,2047781,134-16.4%
North Dakota$99$923129194-17.5%
Mississippi$98$698226366-18.7%
Michigan$98$1,4198441,146-18.7%
Pennsylvania$96$9211,5932,432-20.2%
West Virginia$93$932192314-22.9%
Minnesota$92$913650961-23.3%
North Carolina$92$1,2308661,229-23.5%
South Carolina$90$1,182553952-24.9%
South Dakota$88$898173307-27.1%
Alabama$83$823473735-31.1%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber