How much does Medicare pay for CPT 00562?

Medicare allowed an average of $749.69 per service and paid $598.02 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $6376.20, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 00562?

Anesthesia for procedure on heart and large blood vessels using heart-lung machine (1 year or older). It was billed 10,895 times to 10,875 Medicare beneficiaries by 669 providers in 2024.

Which specialty bills 00562 most?

Anesthesiology, with 9,082 services from 552 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Critical Care (Intensivists).

CPT 00562

Anesthesia for procedure on heart and large blood vessels using heart-lung machine (1 year or older)

$749.69Medicare-allowed amount per service, averaged across 10,895 services

Providers submitted

$6376.20

Asking price, not received

Medicare allowed

$749.69

The fee schedule figure

Medicare paid

$598.02

Balance is patient coinsurance

Providers submitted an average of $6376.20 for this code and Medicare allowed $749.69 — 8.5× 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 $598.02 (80%); the rest is the patient’s coinsurance and deductible.

Services: 10,895
Beneficiaries: 10,875
Providers billing it: 669
Total allowed: $8,167,873

What Medicare pays for CPT 00562

Across 10,895 services billed by 669 providers to 10,875 beneficiaries, Medicare allowed an average of $749.69 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 00562

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	9,082	9,065	$786.93	552
Certified Registered Nurse Anesthetist (CRNA)	1,581	1,579	$556.44	102
Anesthesiology Assistant	96	96	$431.76	7
Critical Care (Intensivists)	71	70	$715.95	5
Hospitalist	35	35	$758.72	1
Allergy/ Immunology	19	19	$504.28	1
Pulmonary Disease	11	11	$1162.85	1

00562 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
Ohio	1,174	$633.54	$510.67	56
New York	901	$946.83	$686.87	55
California	865	$928.86	$694.26	56
Florida	820	$661.61	$510.63	51
Minnesota	819	$536.73	$429.18	43
Texas	616	$779.75	$628.35	32
Pennsylvania	584	$692.63	$536.37	38
Illinois	476	$996.11	$732.90	30
Missouri	420	$639.58	$519.04	26
Massachusetts	391	$917.71	$699.17	27
New Jersey	389	$801.53	$586.27	26
Indiana	350	$790.13	$661.86	19
Arizona	317	$732.99	$588.45	17
Maryland	284	$958.93	$730.36	18
Georgia	236	$444.24	$347.63	16
Arkansas	218	$695.54	$587.37	11
Virginia	179	$834.83	$658.10	13
Tennessee	167	$570.77	$464.29	11
South Carolina	149	$621.39	$507.79	11
Alabama	139	$437.74	$364.95	9
Wisconsin	138	$641.65	$542.97	10
North Carolina	131	$623.53	$519.68	9
Oklahoma	129	$803.11	$645.48	9
Oregon	126	$765.08	$613.73	9
Washington	108	$972.31	$737.71	8
New Hampshire	82	$770.80	$613.62	7
Colorado	80	$782.84	$624.98	6
Connecticut	79	$832.17	$642.68	5
Idaho	78	$783.62	$653.44	6
Nevada	74	$770.79	$631.06	6
Kentucky	60	$665.21	$567.82	4
District of Columbia	52	$935.88	$680.05	4
Delaware	41	$492.75	$379.29	3
Mississippi	38	$354.74	$289.06	3
Michigan	38	$748.18	$591.45	3
Iowa	34	$803.38	$672.86	3
Montana	15	$792.93	$632.74	1
Kansas	14	$783.22	$633.67	1
New Mexico	13	$783.12	$626.44	1
Nebraska	13	$784.16	$659.15	1
West Virginia	13	$384.32	$312.58	1
Utah	12	$1058.02	$782.16	1
South Dakota	11	$424.00	$346.73	1
Rhode Island	11	$762.79	$615.27	1
Alaska	11	$1304.34	$756.43	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
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.