CPT 01214: Anesthesia for Open Total Hip Arthroplasty
Commercial payers pay $80 on average nationally for this procedure.
CPT code 01214 describes anesthesia services provided for a patient undergoing an open total hip arthroplasty; this represents a surgical anesthesia service for major joint replacement and is typically delivered in an inpatient or ambulatory surgical center setting where general or regional anesthesia is administered for total hip replacement procedures.
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National Reimbursement Benchmarks
BUCA’s average commercial rate for CPT 01214 sits at $79.6, providing a useful midpoint for national commercial pricing. Among major commercial payers, Aetna’s distribution is broad with a P25–P75 spread of $87.0 ($176.5 − $80.5), reflecting significant upward variability; Cigna and Blue Cross Blue Shield have intermediate dispersion with spreads of $53.1 ($120.0 − $67.9) and $33.4 ($75.8 − $42.4), respectively. UnitedHealth Group shows the tightest interquartile range at $27.6 ($80.8 − $52.0), indicating more consistent commercial payment levels around its median.
Median and mean contrasts underscore differences in central tendency: Aetna’s median is relatively high at $108.9 versus BUCA’s mean of $79.6, while Cigna and UnitedHealth Group medians are $85.7 and $64.0, respectively. Payer-specific extremes also differ—Aetna and Cigna report the highest observed maximums at $340.3 and $151.4—highlighting that some payers allow substantially higher outliers even where interquartile dispersion may be moderate.