01210

Anesthesia for other procedure on hip joint

Medicare pricing data for 34,528 providers across 52 states

🤖AI Overview

This procedure has a 10.4x markup — hospitals charge $2,228 but Medicare allows only $215.01. Uninsured patients may face bills 10.4 times higher than what insurance negotiates. Prices vary significantly by location — from $153 in Alabama to $394 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 hip joint (HCPCS code 01210) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $215.01, but hospitals typically charge $2,228 — a 10.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$43.00

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $215.01, your out-of-pocket cost would be approximately $43.00. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$215.01
Average Hospital Charge
$2,228
Markup Ratio
10.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,228.18
Medicare Allowed$215.01
Medicare Payment$169.41

Hospitals charge 10.4x more than what Medicare allows for this procedure. Medicare actually pays $169.41 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$394$2,46057100+83.2%
California$298$2,3752,1934,445+38.8%
Puerto Rico$292$2,1203883+35.8%
Utah$288$1,802201299+33.8%
Montana$285$1,731101176+32.7%
Wyoming$284$2,3224592+31.9%
Idaho$282$1,862122217+31.3%
Oregon$281$1,743346675+30.8%
Hawaii$274$1,76563104+27.4%
Washington$272$1,9576561,184+26.4%
Arizona$261$2,7975981,209+21.6%
New Mexico$257$2,415178304+19.7%
Nevada$254$2,486221490+18.2%
Nebraska$254$1,795218368+18.1%
Arkansas$253$1,501329684+17.5%
Iowa$249$1,616320679+15.6%
New York$248$3,2651,7883,691+15.4%
District of Columbia$239$2,262100171+11.2%
Maryland$239$2,3345841,242+11.1%
Indiana$236$1,8916831,400+9.9%
New Jersey$235$2,6018851,949+9.5%
Oklahoma$234$2,1244281,116+8.7%
Rhode Island$230$1,89597189+7.0%
Colorado$226$2,184517806+4.9%
Louisiana$225$1,656432848+4.5%
Kansas$223$1,532415822+3.6%
Kentucky$221$2,110517963+3.0%
Delaware$220$2,162122272+2.3%
Illinois$218$2,7541,2562,427+1.6%
Florida$218$2,4932,6245,621+1.5%
New Hampshire$216$2,758203351+0.5%
Massachusetts$212$1,7578951,953-1.2%
Tennessee$206$1,9561,0162,095-4.2%
Ohio$205$1,8291,3922,549-4.9%
Texas$204$2,6152,8925,755-5.0%
Vermont$202$1,40176145-6.0%
Missouri$202$1,7148431,711-6.2%
Wisconsin$200$2,8606381,009-7.0%
Connecticut$196$2,289442942-8.8%
Mississippi$191$1,3133981,151-11.0%
Virginia$186$2,2321,0002,223-13.3%
Michigan$179$2,4971,1341,976-16.7%
Minnesota$176$1,6797361,234-18.0%
Maine$176$2,023206379-18.2%
West Virginia$176$2,005254493-18.3%
Pennsylvania$174$1,9321,9033,429-19.1%
North Carolina$169$2,1851,4003,003-21.2%
North Dakota$168$1,662104194-21.8%
Georgia$167$1,8941,1922,491-22.1%
South Carolina$167$2,2857321,546-22.6%
South Dakota$161$1,618160388-24.9%
Alabama$153$1,6377041,742-28.7%

⚠️ 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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