How much does Medicare pay for CPT 00534?

Medicare allowed an average of $204.12 per service and paid $160.95 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2368.76, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 00534?

Anesthesia for insertion or replace of pacing heart defibrillator. It was billed 5,223 times to 5,194 Medicare beneficiaries by 319 providers in 2024.

Which specialty bills 00534 most?

Anesthesiology, with 3,710 services from 225 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Critical Care (Intensivists).

CPT 00534

Anesthesia for insertion or replace of pacing heart defibrillator

$204.12Medicare-allowed amount per service, averaged across 5,223 services

Providers submitted

$2368.76

Asking price, not received

Medicare allowed

$204.12

The fee schedule figure

Medicare paid

$160.95

Balance is patient coinsurance

Providers submitted an average of $2368.76 for this code and Medicare allowed $204.12 — 11.6× 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 $160.95 (79%); the rest is the patient’s coinsurance and deductible.

Services: 5,223
Beneficiaries: 5,194
Providers billing it: 319
Total allowed: $1,066,119

What Medicare pays for CPT 00534

Across 5,223 services billed by 319 providers to 5,194 beneficiaries, Medicare allowed an average of $204.12 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 00534

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	3,710	3,690	$207.40	225
Certified Registered Nurse Anesthetist (CRNA)	1,396	1,387	$198.55	86
Anesthesiology Assistant	89	89	$163.44	6
Critical Care (Intensivists)	15	15	$201.38	1
Allergy/ Immunology	13	13	$147.70	1

00534 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	770	$219.81	$153.93	41
Texas	457	$273.40	$215.75	25
New Jersey	388	$195.79	$144.46	25
South Carolina	385	$151.79	$121.18	24
Pennsylvania	382	$175.32	$136.16	27
Florida	292	$207.45	$157.84	20
North Carolina	251	$185.26	$145.80	14
California	250	$259.20	$196.02	18
Tennessee	238	$163.22	$131.63	16
Alabama	228	$150.30	$121.57	10
Virginia	216	$211.66	$166.79	12
Arizona	162	$235.58	$188.64	7
Ohio	121	$151.97	$124.05	7
Massachusetts	120	$202.68	$150.04	6
Maryland	114	$234.50	$174.38	8
Missouri	113	$180.33	$143.34	9
Georgia	90	$158.11	$124.58	6
Minnesota	78	$190.10	$152.88	5
Arkansas	78	$247.04	$207.98	4
Delaware	73	$169.89	$133.24	5
District of Columbia	60	$213.45	$153.17	4
Mississippi	58	$229.71	$192.65	4
Michigan	56	$166.03	$127.34	4
Indiana	37	$284.64	$223.61	3
Wisconsin	33	$207.78	$166.24	2
Maine	28	$167.38	$138.39	2
New Hampshire	25	$250.60	$185.54	2
Louisiana	23	$214.88	$169.20	2
Illinois	21	$233.76	$217.41	1
Nevada	15	$298.51	$239.10	1
Oregon	14	$269.59	$214.80	1
Nebraska	12	$217.62	$182.37	1
Washington	12	$217.47	$156.77	1
Kentucky	12	$190.84	$162.13	1
Connecticut	11	$157.31	$119.93	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
00530Anesthesia for insertion of permanent heart pacemaker$150.20
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
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.