01482

Anesthesia for open amputation below the knee

Medicare pricing data for 14,895 providers across 52 states

🤖AI Overview

This procedure has a 10.4x markup — hospitals charge $1,767 but Medicare allows only $170.08. Uninsured patients may face bills 10.4 times higher than what insurance negotiates. Prices vary significantly by location — from $123 in Alabama to $328 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 open amputation below the knee (HCPCS code 01482) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $170.08, but hospitals typically charge $1,767 — a 10.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$34.02

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $170.08, your out-of-pocket cost would be approximately $34.02. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$170.08
Average Hospital Charge
$1,767
Markup Ratio
10.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,767.41
Medicare Allowed$170.08
Medicare Payment$134.69

Hospitals charge 10.4x more than what Medicare allows for this procedure. Medicare actually pays $134.69 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$328$1,9573552+92.7%
Puerto Rico$277$1,5511424+62.9%
Utah$245$1,5307988+44.3%
California$236$1,8361,0061,309+38.8%
Montana$228$1,2515678+34.3%
Oregon$228$1,469156195+33.9%
Idaho$226$1,7085262+33.1%
Wyoming$225$1,7762229+32.4%
Washington$211$1,516282347+23.8%
Iowa$210$1,457144174+23.2%
Nebraska$205$1,478101122+20.8%
New York$198$2,640778970+16.2%
Oklahoma$196$1,528184248+15.4%
Nevada$194$2,033119160+14.3%
New Mexico$191$1,8077282+12.2%
District of Columbia$191$1,4376696+12.1%
Massachusetts$190$1,505349436+11.5%
Arizona$188$2,263223288+10.6%
Arkansas$188$1,185169228+10.5%
Colorado$187$1,765170195+9.7%
Illinois$185$2,287481604+8.8%
Maryland$184$1,761330475+8.3%
Kansas$182$1,197168212+7.0%
Indiana$182$1,477289350+6.9%
New Jersey$176$2,098341448+3.7%
Delaware$176$1,7175673+3.3%
Florida$174$1,954808989+2.3%
Louisiana$172$1,369243332+1.2%
Texas$168$2,1611,1571,498-1.5%
Ohio$167$1,510573683-1.8%
Hawaii$164$1,1222024-3.4%
Kentucky$162$1,646215271-4.9%
Tennessee$162$1,621453585-4.9%
North Dakota$161$1,35378104-5.6%
Vermont$159$1,1663037-6.4%
Rhode Island$157$1,5492739-7.8%
Missouri$155$1,322360502-9.0%
Connecticut$155$1,903157197-9.0%
Maine$154$1,895112145-9.2%
New Hampshire$149$2,306105131-12.7%
Michigan$146$1,911549697-14.0%
Virginia$144$1,673417543-15.1%
West Virginia$143$1,964115145-16.1%
Wisconsin$141$2,188352512-17.1%
Minnesota$140$1,353384481-17.6%
Pennsylvania$139$1,5068651,086-18.1%
South Dakota$136$1,66383106-20.1%
Mississippi$135$957193279-20.5%
North Carolina$132$1,756591804-22.2%
Georgia$130$1,500543773-23.3%
South Carolina$130$1,857381494-23.8%
Alabama$123$1,175326441-27.4%

⚠️ 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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