What do doctors typically charge for Anesthesia for Procedure on Kneecap and or Upper Part of Lower Leg Bones?

The nationwide median physician charge for Anesthesia for Procedure on Kneecap and or Upper Part of Lower Leg Bones (CPT 01392) is $2755.73. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 01392?

The standard insurance baseline reimbursement rate is $157.28. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Anesthesia for Procedure on Kneecap and or Upper Part of Lower Leg Bones

CPT 01392Medical Service

Anesthesia for Procedure on Kneecap and or Upper Part of Lower Leg Bones

Anesthesia for procedure on kneecap and/or upper part of lower leg bones. Clinical pricing breakdown and utilization metrics across 2 practicing doctors nationwide.

$2755.73

Peer Median Charge

Gross billed rate

$157.28

Standard Baseline

Customary allowable

17.5x

National Markup

Charge vs baseline

Active Physicians

Billing this code

Planning care or already received a bill for CPT 01392?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $2755.73. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $157.28 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 01392 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"