CPT 00560

Across 49,271 services billed by 2,420 providers to 49,059 beneficiaries, Medicare allowed an average of $396.34 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.

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.

• 00537Anesthesia for procedure to assess heart electrical activity$288.91
• 00520Anesthesia for other closed procedure on chest$146.70
• 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
• 00534Anesthesia for insertion or replace of pacing heart defibrillator$204.12
• 00541Anesthesia for procedure on chest$495.59

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.

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