01270

Anesthesia for other procedure on artery of upper leg

Medicare pricing data for 19,734 providers across 52 states

🤖AI Overview

This procedure has a 9.9x markup — hospitals charge $3,282 but Medicare allows only $333.17. Uninsured patients may face bills 9.9 times higher than what insurance negotiates. Prices vary significantly by location — from $226 in Alabama to $610 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 artery of upper leg (HCPCS code 01270) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $333.17, but hospitals typically charge $3,282 — a 9.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$66.63

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $333.17, your out-of-pocket cost would be approximately $66.63. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$333.17
Average Hospital Charge
$3,282
Markup Ratio
9.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,281.87
Medicare Allowed$333.17
Medicare Payment$264.47

Hospitals charge 9.9x more than what Medicare allows for this procedure. Medicare actually pays $264.47 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$610$3,4012030+82.9%
Utah$518$3,34282115+55.4%
Montana$476$2,58057117+42.8%
Wyoming$474$3,2251418+42.3%
Puerto Rico$471$2,6091523+41.3%
Iowa$459$3,020163265+37.8%
Idaho$457$2,97561103+37.1%
Oregon$457$2,848208345+37.0%
California$436$2,7071,1092,385+30.8%
Arkansas$406$2,424140288+21.8%
Washington$405$2,946373577+21.5%
Massachusetts$400$3,1475791,068+20.1%
New York$400$5,2661,1462,047+19.9%
Delaware$388$3,4885993+16.5%
Nevada$385$3,895115197+15.5%
Indiana$382$2,911322509+14.8%
Arizona$378$4,759255500+13.4%
Colorado$376$3,406217288+12.8%
Rhode Island$371$3,3804674+11.3%
New Mexico$370$3,5595788+11.1%
Oklahoma$367$2,701137387+10.1%
Nebraska$365$2,414159280+9.6%
New Jersey$365$4,087474771+9.5%
Illinois$364$4,2238231,554+9.3%
Hawaii$363$2,3433252+8.9%
District of Columbia$363$2,840100162+8.9%
Vermont$362$2,7254068+8.6%
Maryland$361$2,855389942+8.5%
Louisiana$358$2,728254398+7.5%
Connecticut$358$4,119303498+7.3%
New Hampshire$356$5,743138237+6.8%
Florida$345$3,8491,3472,102+3.7%
Ohio$344$2,8088291,289+3.2%
Wisconsin$340$5,244399623+2.0%
Kansas$319$1,985158239-4.1%
Virginia$313$3,6635861,085-6.1%
Missouri$307$2,6025411,043-7.9%
Kentucky$302$2,952333572-9.4%
Michigan$297$3,6487851,276-11.0%
Tennessee$291$3,0385041,113-12.6%
Pennsylvania$289$2,8911,2832,018-13.4%
Maine$285$3,448140227-14.4%
Texas$278$2,8851,4993,764-16.5%
North Dakota$272$2,581114196-18.4%
Minnesota$271$2,513521923-18.6%
North Carolina$267$3,3747431,323-19.9%
Georgia$266$2,9857371,149-20.3%
West Virginia$264$2,648145302-20.8%
South Carolina$260$3,492424718-21.9%
South Dakota$235$2,64290172-29.3%
Mississippi$228$1,302184462-31.6%
Alabama$226$1,972452844-32.1%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber