01480

Anesthesia for other procedure on lower leg, ankle, and foot bones

Medicare pricing data for 66,219 providers across 52 states

🤖AI Overview

This procedure has a 10.6x markup — hospitals charge $1,425 but Medicare allows only $134.92. Uninsured patients may face bills 10.6 times higher than what insurance negotiates. Prices vary significantly by location — from $97 in Alabama to $232 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 lower leg, ankle, and foot bones (HCPCS code 01480) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $134.92, but hospitals typically charge $1,425 — a 10.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.98

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $134.92, your out-of-pocket cost would be approximately $26.98. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$134.92
Average Hospital Charge
$1,425
Markup Ratio
10.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,424.73
Medicare Allowed$134.92
Medicare Payment$105.90

Hospitals charge 10.6x more than what Medicare allows for this procedure. Medicare actually pays $105.90 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$232$1,529118484+71.7%
California$194$1,5554,13115,810+43.6%
Puerto Rico$192$1,27660162+42.3%
Montana$184$1,060196866+36.1%
Utah$180$1,1935111,916+33.4%
Oregon$176$1,1316482,453+30.2%
Washington$175$1,2161,2354,559+29.7%
Idaho$174$1,1112831,040+29.2%
Wyoming$171$1,35983389+26.9%
New Mexico$168$1,5693091,156+24.3%
Nevada$168$1,5953611,395+24.1%
Arizona$166$1,8341,1725,176+23.0%
Hawaii$164$1,099102326+21.4%
Maryland$156$1,4491,0594,917+15.7%
Nebraska$154$9924961,925+14.5%
Iowa$152$1,0165702,720+12.3%
Oklahoma$151$1,3447172,979+12.0%
New York$151$2,0143,40911,852+11.8%
Colorado$150$1,4351,0974,079+11.1%
New Jersey$149$1,8581,5545,891+10.7%
Indiana$146$1,2551,2795,161+8.2%
Florida$144$1,6424,62716,458+6.9%
Louisiana$143$1,2769963,456+6.0%
Arkansas$142$1,2355682,637+5.6%
Kansas$142$1,1007933,200+5.2%
Illinois$141$1,7152,46410,163+4.8%
District of Columbia$138$1,2132931,226+2.6%
Delaware$136$1,4212431,228+0.8%
Texas$132$1,8435,03619,633-1.9%
Kentucky$132$1,2251,0303,844-2.4%
Tennessee$129$1,2521,8607,145-4.1%
New Hampshire$129$1,6703941,619-4.6%
Vermont$128$936120573-5.4%
Massachusetts$128$1,0901,8237,782-5.4%
Missouri$127$1,1851,6635,973-5.6%
Ohio$123$1,1172,97310,252-8.6%
Mississippi$123$8315792,552-8.9%
Wisconsin$122$1,8211,4684,902-9.3%
Connecticut$120$1,4518713,399-11.1%
Rhode Island$117$981176783-13.3%
Georgia$114$1,2852,3618,757-15.6%
Virginia$112$1,3801,8029,142-16.7%
North Dakota$112$1,0002861,477-16.8%
Maine$112$1,2784311,353-17.1%
West Virginia$111$1,2514761,656-17.5%
Michigan$110$1,5322,4919,284-18.7%
Pennsylvania$107$1,1763,90015,447-20.4%
Minnesota$104$1,0111,6706,423-22.9%
South Dakota$104$1,0883431,942-22.9%
South Carolina$103$1,4051,3206,641-23.7%
North Carolina$103$1,3682,47010,596-24.0%
Alabama$97$9571,2394,556-28.0%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber