Cost analysis for CPT 01402 — Anesthesia for procedure for total knee joint replacement
Average Medicare Payment
$180.28
2023 data
Total Payments (2023)
$53.7M
Services (2023)
304.0K
Price Change (2014–2023)
-8.7%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $197.52 | $50.2M | 259.5K | — |
| 2015 | $195.98 | $51.4M | 268.1K | -0.8% |
| 2016 | $189.45 | $55.4M | 299.5K | -3.3% |
| 2017 | $189.69 | $56.7M | 305.7K | +0.1% |
| 2018 | $193.23 | $58.3M | 308.5K | +1.9% |
| 2019 | $194.43 | $60.2M | 316.0K | +0.6% |
| 2020 | $193.55 | $41.8M | 219.7K | -0.5% |
| 2021 | $190.98 | $46.3M | 247.1K | -1.3% |
| 2022 | $187.95 | $52.2M | 282.4K | -1.6% |
| 2023 | $180.28 | $53.7M | 304.0K | -4.1% |
The most expensive state pays 2.4x more than the cheapest for this procedure. AK averages $310.27 vs AL at $126.90.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $310.27 | $148.0K | 477 | 20 |
| CA | $257.00 | $4.0M | 15.5K | 713 |
| HI | $246.64 | $63.9K | 259 | 15 |
| PR | $244.11 | $56.9K | 233 | 11 |
| UT | $242.20 | $465.0K | 1.9K | 107 |
| MT | $240.92 | $277.1K | 1.1K | 62 |
| WY | $235.52 | $94.2K | 400 | 23 |
| ID | $231.52 | $231.5K | 1.0K | 54 |
| AZ | $230.50 | $1.2M | 5.2K | 248 |
| WA | $230.31 | $945.7K | 4.1K | 229 |
| OR | $230.07 | $458.1K | 2.0K | 115 |
| OK | $223.46 | $904.1K | 4.0K | 166 |
| AR | $219.29 | $641.9K | 2.9K | 119 |
| NV | $213.82 | $347.7K | 1.6K | 78 |
| NY | $208.79 | $3.4M | 16.2K | 659 |
| NE | $205.67 | $655.3K | 3.2K | 141 |
| NM | $205.59 | $214.8K | 1.0K | 59 |
| IA | $203.51 | $848.0K | 4.2K | 199 |
| MD | $203.33 | $1.4M | 6.9K | 282 |
| CO | $198.71 | $840.9K | 4.2K | 231 |
| KS | $198.20 | $924.2K | 4.7K | 217 |
| DE | $194.94 | $365.7K | 1.9K | 64 |
| DC | $192.94 | $184.5K | 956 | 47 |
| IN | $190.76 | $1.3M | 7.0K | 288 |
| LA | $188.12 | $588.0K | 3.1K | 154 |
| FL | $185.59 | $3.4M | 18.1K | 778 |
| NJ | $179.41 | $1.4M | 7.7K | 298 |
| IL | $179.23 | $2.4M | 13.1K | 556 |
| RI | $176.99 | $121.1K | 684 | 33 |
| TX | $174.72 | $3.8M | 21.8K | 910 |
| NH | $168.87 | $372.5K | 2.2K | 111 |
| TN | $167.50 | $1.5M | 8.9K | 369 |
| VT | $166.18 | $79.3K | 477 | 24 |
| KY | $165.58 | $777.6K | 4.7K | 185 |
| MO | $163.92 | $1.1M | 6.8K | 336 |
| ME | $163.61 | $204.5K | 1.3K | 69 |
| MA | $162.27 | $1.7M | 10.7K | 437 |
| MS | $161.52 | $447.7K | 2.8K | 116 |
| CT | $155.51 | $524.7K | 3.4K | 141 |
| WI | $154.56 | $757.7K | 4.9K | 231 |
| OH | $153.45 | $2.3M | 15.1K | 634 |
| ND | $153.42 | $184.6K | 1.2K | 67 |
| VA | $151.67 | $1.9M | 12.3K | 497 |
| MI | $148.14 | $1.2M | 8.0K | 401 |
| SD | $147.60 | $411.1K | 2.8K | 106 |
| WV | $145.36 | $272.6K | 1.9K | 78 |
| SC | $138.33 | $1.2M | 9.0K | 376 |
| PA | $138.16 | $2.7M | 19.6K | 804 |
| MN | $137.69 | $750.5K | 5.5K | 288 |
| NC | $137.43 | $1.7M | 12.4K | 563 |
| GA | $133.28 | $1.3M | 9.5K | 399 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Jennifer Ainsworth | Certified Registered Nurse Anesthetist (CRNA) | FL | $54.7K | 242 | $225.90 |
| Marissa Vanguilder | Certified Registered Nurse Anesthetist (CRNA) | CA | $54.1K | 180 | $300.53 |
| Jebb Ainsworth | Certified Registered Nurse Anesthetist (CRNA) | FL | $49.2K | 210 | $234.43 |
| Yi Lin | Anesthesiology | NY | $45.4K | 139 | $326.87 |
| Enrique Goytizolo | Anesthesiology | NY | $42.6K | 135 | $315.77 |
| Ignatius Low | Certified Registered Nurse Anesthetist (CRNA) | FL | $38.4K | 172 | $223.48 |
| Lila Baaklini | Anesthesiology | NY | $38.1K | 111 | $343.42 |
| Stephanie Cheng | Anesthesiology | NY | $37.9K | 115 | $329.59 |
| Uchenna Umeh | Anesthesiology | NY | $36.2K | 103 | $351.80 |
| John Siu | Anesthesiology | CA | $34.2K | 125 | $273.47 |
| Mary Tondo | Certified Registered Nurse Anesthetist (CRNA) | OH | $33.7K | 131 | $257.54 |
| Daniel Maalouf | Anesthesiology | NY | $33.5K | 106 | $316.17 |
| Michael Donovan | Certified Registered Nurse Anesthetist (CRNA) | FL | $32.7K | 112 | $292.15 |
| Julio Cano | Certified Registered Nurse Anesthetist (CRNA) | TX | $32.0K | 135 | $237.09 |
| Ansara Vaz | Anesthesiology | NY | $30.7K | 95 | $323.64 |
| Jiabin Liu | Anesthesiology | NY | $30.6K | 99 | $308.86 |
| Darren Brucksieker | Certified Registered Nurse Anesthetist (CRNA) | AR | $29.7K | 160 | $185.38 |
| Klane Hales | Anesthesiology | CA | $29.5K | 119 | $248.26 |
| Phillip Wang | Anesthesiology | CA | $29.4K | 90 | $326.49 |
| Christopher Li | Anesthesiology | NY | $29.1K | 93 | $313.19 |
The data suggests significant pricing inconsistencies for CPT 01402. With a 2.4x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 8.7% since 2014, the wide state-by-state variation suggests the pricing formula may not adequately account for regional differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.