How much does Medicare pay for CPT 00567?

Medicare allowed an average of $659.46 per service and paid $525.22 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $6331.59, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 00567?

Anesthesia for heart artery bypass grafting on heart-lung machine. It was billed 15,449 times to 15,430 Medicare beneficiaries by 959 providers in 2024.

Which specialty bills 00567 most?

Anesthesiology, with 12,104 services from 744 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Critical Care (Intensivists).

CPT 00567

Anesthesia for heart artery bypass grafting on heart-lung machine

$659.46Medicare-allowed amount per service, averaged across 15,449 services

Providers submitted

$6331.59

Asking price, not received

Medicare allowed

$659.46

The fee schedule figure

Medicare paid

$525.22

Balance is patient coinsurance

Providers submitted an average of $6331.59 for this code and Medicare allowed $659.46 — 9.6× 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 $525.22 (80%); the rest is the patient’s coinsurance and deductible.

Services: 15,449
Beneficiaries: 15,430
Providers billing it: 959
Total allowed: $10,187,998

What Medicare pays for CPT 00567

Across 15,449 services billed by 959 providers to 15,430 beneficiaries, Medicare allowed an average of $659.46 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 00567

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	12,104	12,089	$690.61	744
Certified Registered Nurse Anesthetist (CRNA)	3,083	3,079	$559.02	199
Anesthesiology Assistant	226	226	$370.32	13
Critical Care (Intensivists)	24	24	$631.68	2
Pain Management	12	12	$541.64	1

00567 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	1,406	$616.65	$475.13	78
Texas	1,212	$668.78	$535.78	83
New York	1,053	$786.57	$589.31	58
New Jersey	751	$737.44	$543.07	41
North Carolina	639	$434.50	$354.08	46
Pennsylvania	610	$624.00	$492.75	41
Illinois	589	$785.43	$602.63	32
Tennessee	576	$559.00	$463.87	35
South Carolina	527	$492.26	$401.35	30
Georgia	525	$427.59	$340.09	31
Virginia	520	$645.37	$509.44	33
Missouri	506	$624.82	$507.26	33
Massachusetts	502	$836.10	$643.28	34
California	438	$851.53	$655.91	30
Indiana	384	$715.52	$594.16	23
Maryland	371	$843.18	$649.56	17
Ohio	346	$610.74	$488.98	23
Oklahoma	344	$721.02	$574.92	17
Mississippi	338	$505.71	$417.04	23
Alabama	330	$363.86	$303.66	20
Arkansas	310	$668.53	$560.37	17
South Dakota	269	$394.86	$326.20	15
Nebraska	251	$745.41	$625.89	16
Kentucky	237	$681.97	$552.86	16
Kansas	211	$688.10	$571.49	13
Iowa	207	$701.86	$581.37	15
Michigan	186	$558.21	$440.92	14
Washington	184	$841.79	$648.58	12
Arizona	160	$798.98	$621.45	12
Delaware	159	$852.80	$688.41	10
Oregon	145	$729.37	$590.58	11
Louisiana	121	$583.50	$480.90	7
West Virginia	114	$440.21	$362.66	6
Montana	113	$803.87	$648.01	9
Nevada	107	$697.59	$551.13	6
Minnesota	93	$507.52	$418.56	6
District of Columbia	83	$934.72	$710.02	6
New Hampshire	77	$816.76	$646.91	5
Wisconsin	60	$581.27	$500.12	5
Connecticut	59	$810.07	$623.17	5
Alaska	48	$1172.80	$671.65	3
Idaho	46	$810.41	$678.74	3
Utah	41	$806.02	$646.64	3
Maine	39	$653.31	$537.38	3
Vermont	38	$853.92	$729.71	3
Colorado	37	$763.43	$617.77	3
Hawaii	35	$821.69	$651.07	3
New Mexico	29	$820.55	$656.13	2
Wyoming	12	$988.86	$734.52	1
North Dakota	11	$429.76	$348.21	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
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.