How much does Medicare pay for CPT 00320?

Medicare allowed an average of $181.34 per service and paid $142.90 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1839.50, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 00320?

Anesthesia for other procedure on neck area (1 year or older). It was billed 22,968 times to 22,647 Medicare beneficiaries by 1,231 providers in 2024.

Does 00320 pay differently in an office than a hospital?

Yes. The allowed amount averaged $147.26 in an office setting and $181.78 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 00320 most?

Anesthesiology, with 13,455 services from 781 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Critical Care (Intensivists).

CPT 00320

Anesthesia for other procedure on neck area (1 year or older)

$181.34Medicare-allowed amount per service, averaged across 22,968 services

Providers submitted

$1839.50

Asking price, not received

Medicare allowed

$181.34

The fee schedule figure

Medicare paid

$142.90

Balance is patient coinsurance

Providers submitted an average of $1839.50 for this code and Medicare allowed $181.34 — 10.1× 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 $142.90 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $147.26
Hospital / facility: $181.78

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 294 services were billed in an office setting and 22,674 in a facility.

Services: 22,968
Beneficiaries: 22,647
Providers billing it: 1,231
Total allowed: $4,165,017

What Medicare pays for CPT 00320

Across 22,968 services billed by 1,231 providers to 22,647 beneficiaries, Medicare allowed an average of $181.34 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 00320

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	13,455	13,241	$187.19	781
Certified Registered Nurse Anesthetist (CRNA)	9,134	9,029	$173.61	425
Anesthesiology Assistant	220	218	$141.28	16
Critical Care (Intensivists)	55	55	$148.99	4
Emergency Medicine	40	40	$275.79	1
Interventional Pain Management	36	36	$162.81	2
Pain Management	28	28	$158.61	2

00320 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
Florida	2,419	$212.39	$162.38	99
Texas	1,855	$180.64	$142.13	102
California	1,391	$249.56	$183.06	70
Pennsylvania	1,273	$177.03	$136.74	65
South Carolina	1,252	$163.45	$132.43	69
New York	1,196	$224.24	$158.97	52
Tennessee	1,113	$134.96	$108.02	53
Ohio	1,083	$152.04	$120.17	63
Kansas	876	$155.32	$124.75	46
Massachusetts	770	$215.42	$160.05	47
Mississippi	708	$154.07	$124.83	30
North Carolina	642	$126.32	$102.50	39
Louisiana	601	$154.79	$126.66	26
Georgia	564	$138.38	$106.38	26
Minnesota	547	$179.70	$142.23	30
Virginia	525	$167.74	$134.02	33
Arizona	519	$193.26	$152.66	29
Nebraska	465	$123.14	$103.69	32
Illinois	461	$203.75	$150.81	31
Michigan	433	$202.41	$154.98	26
Maryland	411	$203.19	$154.37	26
Missouri	372	$218.45	$168.72	27
Alabama	344	$136.53	$113.08	19
Utah	337	$190.67	$150.91	18
Oklahoma	285	$204.23	$168.05	15
Indiana	272	$154.05	$123.96	15
Kentucky	269	$124.91	$102.65	17
New Jersey	255	$161.65	$119.27	15
Wisconsin	227	$143.61	$116.94	11
Colorado	183	$150.60	$117.87	12
Connecticut	169	$260.32	$198.24	9
Washington	164	$242.85	$172.48	11
South Dakota	153	$140.12	$115.40	10
Arkansas	140	$230.47	$191.70	9
New Hampshire	135	$166.72	$126.53	10
Oregon	100	$167.69	$129.29	7
District of Columbia	87	$208.05	$153.10	6
Nevada	66	$229.39	$181.97	5
Iowa	53	$162.75	$139.63	4
West Virginia	52	$168.92	$130.77	3
Rhode Island	41	$90.89	$63.86	3
Hawaii	40	$107.77	$86.97	2
Delaware	35	$137.91	$108.05	3
Maine	32	$136.81	$103.28	2
New Mexico	16	$266.49	$199.99	1
North Dakota	15	$146.58	$117.38	1
Vermont	11	$184.74	$147.72	1
Montana	11	$274.98	$219.41	1

Related codes

00300Anesthesia for other procedure on skin$142.16
00350Anesthesia for other procedure on large blood vessel of neck$294.10

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.