How much does Medicare pay for CPT 00145?

Medicare allowed an average of $148.90 per service and paid $116.88 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1428.86, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 00145?

Anesthesia for retinal surgery. It was billed 68,597 times to 66,244 Medicare beneficiaries by 2,464 providers in 2024.

Does 00145 pay differently in an office than a hospital?

Yes. The allowed amount averaged $121.86 in an office setting and $149.58 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 00145 most?

Anesthesiology, with 35,064 services from 1,205 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Pain Management.

CPT 00145

Anesthesia for retinal surgery

$148.90Medicare-allowed amount per service, averaged across 68,597 services

Providers submitted

$1428.86

Asking price, not received

Medicare allowed

$148.90

The fee schedule figure

Medicare paid

$116.88

Balance is patient coinsurance

Providers submitted an average of $1428.86 for this code and Medicare allowed $148.90 — 9.6× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $116.88 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $121.86
Hospital / facility: $149.58

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 1,683 services were billed in an office setting and 66,914 in a facility.

Services: 68,597
Beneficiaries: 66,244
Providers billing it: 2,464
Total allowed: $10,214,093

What Medicare pays for CPT 00145

Across 68,597 services billed by 2,464 providers to 66,244 beneficiaries, Medicare allowed an average of $148.90 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 00145

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	35,064	33,876	$147.57	1,205
Certified Registered Nurse Anesthetist (CRNA)	31,743	30,620	$152.86	1,188
Anesthesiology Assistant	1,566	1,535	$95.68	59
Pain Management	167	158	$175.22	8
Interventional Pain Management	32	31	$173.78	2
Pediatric Medicine	14	13	$97.63	1
Critical Care (Intensivists)	11	11	$125.06	1

00145 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Texas	6,734	$136.81	$107.99	196
Florida	5,353	$149.61	$113.29	179
California	4,453	$198.06	$150.96	185
Pennsylvania	3,880	$116.04	$90.55	132
New York	3,479	$163.64	$119.72	133
Ohio	3,290	$135.70	$107.47	91
Arizona	2,550	$176.73	$141.12	51
Tennessee	2,299	$140.22	$112.90	74
Massachusetts	2,220	$140.71	$106.95	87
North Carolina	2,165	$125.03	$101.02	103
Virginia	2,118	$132.30	$103.24	86
Alabama	1,908	$107.25	$87.89	65
Indiana	1,666	$143.58	$117.46	72
Georgia	1,612	$120.96	$95.37	44
New Jersey	1,584	$180.98	$134.92	54
Michigan	1,572	$135.02	$105.36	64
Maryland	1,562	$167.15	$124.62	60
South Carolina	1,520	$136.95	$110.35	59
Minnesota	1,503	$114.37	$92.84	44
Colorado	1,435	$140.47	$110.27	69
Missouri	1,370	$146.84	$117.03	69
Illinois	1,244	$158.67	$124.30	55
Washington	1,159	$193.35	$149.77	28
Oklahoma	984	$178.19	$142.67	41
Mississippi	969	$120.11	$98.84	40
Kansas	936	$151.09	$122.05	41
Kentucky	814	$172.87	$140.80	28
Louisiana	800	$157.40	$125.73	30
South Dakota	661	$157.88	$130.08	14
Iowa	633	$186.02	$155.63	25
Utah	595	$152.73	$125.17	25
Oregon	590	$204.95	$146.93	17
Arkansas	547	$181.80	$138.11	20
Wisconsin	533	$134.01	$109.80	28
Connecticut	514	$140.30	$108.41	28
Nebraska	500	$159.60	$131.52	19
West Virginia	420	$142.62	$110.48	12
Nevada	383	$185.94	$146.21	14
District of Columbia	303	$119.53	$87.24	9
Idaho	300	$160.50	$133.56	14
Montana	263	$169.58	$125.34	6
North Dakota	179	$140.69	$113.54	7
Maine	177	$199.58	$159.33	8
New Mexico	166	$158.77	$123.06	9
New Hampshire	164	$153.41	$120.62	6
Rhode Island	151	$99.58	$77.78	4
Delaware	132	$157.63	$127.11	7
Vermont	77	$192.59	$159.17	5
Hawaii	62	$188.62	$155.64	3
Guam	45	$201.41	$153.78	2
AE	12	$180.20	$143.61	1
ZZ	11	$216.21	$173.97	1

Related codes

00142Anesthesia for lens surgery$94.99
00140Anesthesia for other procedure on eye$123.68
00104Anesthesia for electroshock therapy$80.75
00103Anesthesia for procedure on eyelid$139.67
00160Anesthesia for other procedure on nose and sinuses$150.31
00144Anesthesia for procedure on eye for corneal transplant$143.81
00170Anesthesia for other procedure on mouth$148.06
00120Anesthesia for other procedure on external middle and inner ear$184.90

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.