How much does Medicare pay for CPT 00210?

Medicare allowed an average of $481.51 per service and paid $383.54 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $4398.67, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 00210?

Anesthesia for other procedure on brain. It was billed 5,435 times to 5,357 Medicare beneficiaries by 312 providers in 2024.

Which specialty bills 00210 most?

Anesthesiology, with 4,825 services from 273 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Critical Care (Intensivists), Thoracic Surgery.

CPT 00210

Anesthesia for other procedure on brain

$481.51Medicare-allowed amount per service, averaged across 5,435 services

Providers submitted

$4398.67

Asking price, not received

Medicare allowed

$481.51

The fee schedule figure

Medicare paid

$383.54

Balance is patient coinsurance

Providers submitted an average of $4398.67 for this code and Medicare allowed $481.51 — 9.1× 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 $383.54 (80%); the rest is the patient’s coinsurance and deductible.

Services: 5,435
Beneficiaries: 5,357
Providers billing it: 312
Total allowed: $2,617,007

What Medicare pays for CPT 00210

Across 5,435 services billed by 312 providers to 5,357 beneficiaries, Medicare allowed an average of $481.51 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 00210

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	4,825	4,756	$494.77	273
Certified Registered Nurse Anesthetist (CRNA)	550	544	$376.88	35
Critical Care (Intensivists)	29	28	$483.90	2
Thoracic Surgery	16	16	$315.56	1
Anesthesiology Assistant	15	13	$227.36	1

00210 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
New York	552	$575.38	$409.65	27
Florida	533	$421.64	$320.55	28
California	495	$652.84	$479.86	27
Pennsylvania	393	$488.16	$373.39	25
Texas	362	$411.57	$323.72	23
Ohio	292	$433.94	$348.39	19
North Carolina	289	$342.54	$284.31	17
Massachusetts	226	$562.27	$423.67	12
Arizona	202	$528.28	$413.62	12
Kansas	202	$348.99	$281.75	11
Wisconsin	155	$453.70	$373.02	8
Maryland	139	$625.43	$484.96	8
Washington	135	$513.94	$375.55	7
Missouri	135	$441.18	$353.84	8
Minnesota	115	$359.52	$286.71	8
Tennessee	106	$462.44	$391.89	7
Virginia	101	$528.92	$435.81	7
Illinois	101	$548.84	$408.49	6
Kentucky	100	$299.93	$247.21	5
Alabama	90	$363.69	$305.93	6
Connecticut	83	$600.69	$457.03	4
New Jersey	74	$302.30	$231.98	4
Georgia	74	$407.90	$328.00	5
Arkansas	73	$538.32	$453.42	5
Colorado	72	$381.39	$296.41	4
Oregon	67	$597.85	$483.21	4
South Carolina	65	$302.87	$247.12	4
Michigan	40	$617.45	$438.08	1
Vermont	39	$477.30	$388.95	2
New Hampshire	32	$404.62	$322.84	2
District of Columbia	18	$499.45	$366.45	1
Louisiana	18	$538.56	$429.39	1
Indiana	17	$547.54	$457.05	1
Utah	14	$644.05	$509.35	1
New Mexico	13	$280.18	$234.56	1
Iowa	13	$517.49	$389.87	1

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.