How much does Medicare pay for CPT 00530?

Medicare allowed an average of $150.20 per service and paid $118.26 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1830.34, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 00530?

Anesthesia for insertion of permanent heart pacemaker. It was billed 30,635 times to 30,533 Medicare beneficiaries by 1,589 providers in 2024.

Which specialty bills 00530 most?

Anesthesiology, with 20,422 services from 1,033 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Critical Care (Intensivists).

CPT 00530

Anesthesia for insertion of permanent heart pacemaker

$150.20Medicare-allowed amount per service, averaged across 30,635 services

Providers submitted

$1830.34

Asking price, not received

Medicare allowed

$150.20

The fee schedule figure

Medicare paid

$118.26

Balance is patient coinsurance

Providers submitted an average of $1830.34 for this code and Medicare allowed $150.20 — 12.2× 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 $118.26 (79%); the rest is the patient’s coinsurance and deductible.

Services: 30,635
Beneficiaries: 30,533
Providers billing it: 1,589
Total allowed: $4,601,377

What Medicare pays for CPT 00530

Across 30,635 services billed by 1,589 providers to 30,533 beneficiaries, Medicare allowed an average of $150.20 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 00530

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	20,422	20,356	$154.22	1,033
Certified Registered Nurse Anesthetist (CRNA)	9,346	9,313	$144.17	506
Anesthesiology Assistant	705	702	$114.58	38
Critical Care (Intensivists)	93	93	$140.28	7
Allergy/ Immunology	29	29	$122.96	2
Interventional Pain Management	27	27	$162.44	2
Emergency Medicine	13	13	$221.36	1

00530 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	3,700	$180.06	$127.15	174
Florida	2,439	$150.26	$114.21	130
Pennsylvania	2,172	$119.98	$93.46	130
Texas	2,166	$167.18	$131.17	108
New Jersey	1,862	$155.99	$115.64	99
South Carolina	1,859	$107.03	$86.34	79
Virginia	1,693	$144.84	$112.21	91
Georgia	1,584	$115.27	$90.47	81
California	1,570	$202.78	$152.78	92
Tennessee	1,536	$121.42	$99.18	90
Alabama	1,088	$103.77	$84.86	36
North Carolina	945	$136.20	$109.26	48
Missouri	812	$147.13	$114.71	46
Maryland	785	$173.63	$131.57	48
Oklahoma	687	$169.89	$134.17	26
Arizona	608	$165.44	$131.27	21
Massachusetts	587	$150.68	$112.73	30
Delaware	443	$152.33	$120.70	23
Michigan	431	$135.87	$104.32	31
Minnesota	362	$147.45	$116.89	15
Ohio	353	$137.71	$108.95	18
Arkansas	297	$166.22	$138.34	9
District of Columbia	273	$150.45	$110.00	14
Illinois	227	$159.92	$126.32	16
Alaska	215	$277.03	$157.91	9
Wisconsin	205	$136.57	$102.72	10
Connecticut	194	$171.85	$129.63	12
Mississippi	183	$151.43	$120.35	10
Indiana	155	$171.40	$139.70	10
Washington	119	$131.77	$97.96	9
Iowa	103	$138.57	$115.53	8
Louisiana	99	$147.19	$115.05	7
Maine	93	$126.29	$96.13	3
Nevada	93	$215.55	$152.02	6
Nebraska	88	$137.65	$112.96	5
South Dakota	73	$98.02	$81.99	6
Kentucky	70	$111.00	$90.38	5
New Hampshire	63	$203.02	$157.13	4
Colorado	60	$180.75	$145.97	5
Puerto Rico	56	$235.45	$181.31	4
Kansas	50	$164.34	$133.21	4
West Virginia	45	$133.49	$101.55	4
Rhode Island	42	$154.18	$118.57	3
Wyoming	41	$248.40	$192.62	2
New Mexico	31	$167.83	$131.48	2
Oregon	27	$180.11	$144.96	2
North Dakota	25	$158.92	$123.89	2
ZZ	14	$156.62	$110.04	1
AE	12	$300.30	$163.02	1

Related codes

00537Anesthesia for procedure to assess heart electrical activity$288.91
00520Anesthesia for other closed procedure on chest$146.70
00560Anesthesia for procedure on heart and large blood vessels$396.34
0055TMusculoskeletal surgical navigational orthopedic operation$185.99
00567Anesthesia for heart artery bypass grafting on heart-lung machine$659.46
00562Anesthesia for procedure on heart and large blood vessels$749.69
0054TComputer-assisted$168.86
00532Anesthesia for access to central vein$105.90
00534Anesthesia for insertion or replace of pacing heart defibrillator$204.12
00541Anesthesia for procedure on chest$495.59

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.