How much does Medicare pay for CPT 00840?

Medicare allowed an average of $197.81 per service and paid $155.56 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2341.77, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 00840?

Anesthesia for other procedure on lower abdomen. It was billed 60,108 times to 59,883 Medicare beneficiaries by 3,969 providers in 2024.

Does 00840 pay differently in an office than a hospital?

Yes. The allowed amount averaged $194.94 in an office setting and $197.82 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 00840 most?

Anesthesiology, with 44,276 services from 2,856 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Interventional Pain Management.

CPT 00840

Anesthesia for other procedure on lower abdomen

$197.81Medicare-allowed amount per service, averaged across 60,108 services

Providers submitted

$2341.77

Asking price, not received

Medicare allowed

$197.81

The fee schedule figure

Medicare paid

$155.56

Balance is patient coinsurance

Providers submitted an average of $2341.77 for this code and Medicare allowed $197.81 — 11.8× 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 $155.56 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $194.94
Hospital / facility: $197.82

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 169 services were billed in an office setting and 59,939 in a facility.

Services: 60,108
Beneficiaries: 59,883
Providers billing it: 3,969
Total allowed: $11,889,963

What Medicare pays for CPT 00840

Across 60,108 services billed by 3,969 providers to 59,883 beneficiaries, Medicare allowed an average of $197.81 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 00840

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	44,276	44,102	$194.08	2,856
Certified Registered Nurse Anesthetist (CRNA)	14,190	14,141	$214.37	1,000
Anesthesiology Assistant	1,287	1,286	$149.83	90
Interventional Pain Management	132	132	$161.30	8
Pain Management	89	89	$167.13	6
Critical Care (Intensivists)	47	47	$231.75	3
Emergency Medicine	41	40	$176.13	3
Internal Medicine	35	35	$162.21	2
Pulmonary Disease	11	11	$229.00	1

00840 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	5,159	$193.49	$147.71	332
New York	4,249	$219.70	$158.39	266
Pennsylvania	4,132	$168.28	$131.15	266
Texas	4,014	$184.32	$145.59	272
California	3,790	$289.01	$220.19	266
New Jersey	2,636	$211.99	$157.93	155
Illinois	2,558	$189.75	$141.61	166
Georgia	2,498	$159.71	$126.44	172
South Carolina	2,324	$164.15	$132.33	140
Virginia	2,318	$179.98	$142.34	144
Massachusetts	2,196	$199.76	$152.12	148
North Carolina	1,922	$154.81	$124.69	128
Michigan	1,760	$170.41	$132.71	119
Maryland	1,648	$221.62	$169.36	104
Ohio	1,491	$181.59	$143.47	102
Arizona	1,376	$242.92	$189.23	95
Missouri	1,258	$176.92	$138.03	83
Mississippi	1,161	$145.02	$118.97	67
Tennessee	988	$197.43	$159.61	68
Oklahoma	932	$233.84	$188.92	63
Alabama	911	$150.89	$125.26	65
Indiana	815	$228.34	$185.47	58
Wisconsin	718	$181.15	$147.39	52
Colorado	679	$203.74	$157.99	49
Kansas	636	$180.68	$146.38	41
Minnesota	595	$177.09	$140.78	45
Connecticut	578	$203.09	$152.45	41
Washington	558	$254.87	$193.96	41
Nevada	533	$242.09	$184.89	37
Delaware	510	$150.88	$117.91	26
Nebraska	470	$174.09	$144.89	31
Arkansas	465	$253.29	$209.15	33
Louisiana	464	$195.25	$155.22	32
Iowa	460	$237.59	$194.09	35
District of Columbia	459	$180.28	$134.82	27
South Dakota	429	$157.27	$128.47	29
Kentucky	410	$175.68	$140.40	28
West Virginia	362	$159.31	$124.87	22
Oregon	250	$263.09	$201.32	19
New Hampshire	228	$231.57	$180.27	16
Montana	187	$281.08	$216.14	14
Utah	186	$258.11	$206.22	13
Alaska	169	$417.46	$249.62	13
North Dakota	129	$147.76	$116.37	10
New Mexico	119	$214.27	$167.12	8
Rhode Island	115	$188.02	$140.54	8
Idaho	70	$224.04	$181.48	6
Maine	48	$164.51	$132.75	4
Hawaii	45	$315.53	$243.36	3
ZZ	30	$268.73	$209.39	2
Wyoming	28	$290.64	$231.21	2
Vermont	26	$246.03	$198.91	2
Puerto Rico	16	$151.27	$120.05	1

Related codes

00811Anesthesia for other procedure on large bowel$99.16
00812Anesthesia for exam of colon$82.06
00813Anesthesia for procedure on small and large bowel$125.41
00873Anesthesia for shock wave therapy for urinary system stones without wa$129.00
00830Anesthesia for other repair of lower abdomen hernia (1 year or older)$137.91
00865Anesthesia for extensive removal of prostate$273.52
00860Anesthesia for other procedure on lower abdomen outside abdominal cavi$170.50
00862Anesthesia for procedure on upper urinary tubes or removal of kidney f$283.02
00880Anesthesia for other procedure on large blood vessel of lower abdomen$445.90

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.