01740

Anesthesia for other procedure on elbow

Medicare pricing data for 15,584 providers across 52 states

🤖AI Overview

This procedure has a 10.2x markup — hospitals charge $1,975 but Medicare allows only $193.68. Uninsured patients may face bills 10.2 times higher than what insurance negotiates. Prices vary significantly by location — from $139 in Alabama to $318 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 elbow (HCPCS code 01740) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $193.68, but hospitals typically charge $1,975 — a 10.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$38.74

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $193.68, your out-of-pocket cost would be approximately $38.74. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$193.68
Average Hospital Charge
$1,975
Markup Ratio
10.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,974.88
Medicare Allowed$193.68
Medicare Payment$152.79

Hospitals charge 10.2x more than what Medicare allows for this procedure. Medicare actually pays $152.79 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$318$1,8253438+64.0%
Wyoming$279$2,3641922+44.1%
California$277$2,0911,0371,333+43.1%
Washington$254$1,857285363+31.3%
Hawaii$249$1,6212528+28.4%
Montana$247$1,4405669+27.7%
Idaho$244$1,5116576+25.9%
Utah$243$1,443123158+25.2%
Nevada$235$2,22988112+21.4%
Nebraska$231$1,429129159+19.2%
Oregon$229$1,529139176+18.1%
Iowa$225$1,466133161+16.4%
New York$225$2,9077731,032+16.3%
Arizona$224$2,459309396+15.7%
New Mexico$220$1,9335566+13.4%
New Jersey$220$2,449331414+13.4%
Oklahoma$219$1,689191245+13.1%
Maryland$216$1,940238327+11.3%
Indiana$211$1,722278342+9.0%
Arkansas$210$1,268158214+8.5%
Colorado$208$1,981230283+7.4%
Puerto Rico$205$1,7491420+5.7%
Illinois$202$2,488591773+4.2%
Florida$200$2,2441,1651,513+3.4%
District of Columbia$196$2,01169108+1.0%
Delaware$193$1,9056487-0.5%
Massachusetts$191$1,536499691-1.3%
Louisiana$191$1,755258315-1.5%
Kansas$190$1,274162195-1.9%
Kentucky$189$1,719235282-2.4%
Texas$187$2,3851,1141,370-3.4%
Wisconsin$182$2,562295351-6.2%
Missouri$182$1,643432550-6.2%
Tennessee$173$1,789435547-10.5%
New Hampshire$173$2,53195126-10.7%
Ohio$173$1,509614749-10.7%
South Dakota$172$2,0317499-11.0%
Connecticut$172$1,971181235-11.3%
North Dakota$168$1,37693125-13.2%
Mississippi$168$1,318170227-13.3%
Michigan$168$2,291471577-13.3%
Maine$168$1,87687111-13.4%
Rhode Island$166$1,3085469-14.3%
West Virginia$166$1,63297122-14.4%
Virginia$165$2,071485667-14.9%
Minnesota$162$1,561410521-16.5%
Pennsylvania$160$1,720789949-17.5%
Vermont$153$9673246-20.8%
Georgia$152$1,680537672-21.7%
South Carolina$148$1,970394501-23.5%
North Carolina$143$1,860574748-25.9%
Alabama$139$1,346294398-28.4%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber