How much does Medicare pay for CPT 00910?

Medicare allowed an average of $82.98 per service and paid $64.89 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $981.63, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 00910?

Anesthesia for other procedure on urinary system through urethra. It was billed 119,538 times to 115,469 Medicare beneficiaries by 5,852 providers in 2024.

Does 00910 pay differently in an office than a hospital?

Yes. The allowed amount averaged $96.98 in an office setting and $82.53 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 00910 most?

Anesthesiology, with 71,977 services from 3,586 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Pain Management.

CPT 00910

Anesthesia for other procedure on urinary system through urethra

$82.98Medicare-allowed amount per service, averaged across 119,538 services

Providers submitted

$981.63

Asking price, not received

Medicare allowed

$82.98

The fee schedule figure

Medicare paid

$64.89

Balance is patient coinsurance

Providers submitted an average of $981.63 for this code and Medicare allowed $82.98 — 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 $64.89 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $96.98
Hospital / facility: $82.53

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 3,721 services were billed in an office setting and 115,817 in a facility.

Services: 119,538
Beneficiaries: 115,469
Providers billing it: 5,852
Total allowed: $9,919,263

What Medicare pays for CPT 00910

Across 119,538 services billed by 5,852 providers to 115,469 beneficiaries, Medicare allowed an average of $82.98 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 00910

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	71,977	69,501	$80.23	3,586
Certified Registered Nurse Anesthetist (CRNA)	45,214	43,684	$88.18	2,134
Anesthesiology Assistant	1,388	1,367	$59.30	90
Pain Management	554	534	$81.12	26
Critical Care (Intensivists)	94	94	$94.74	6
Physical Medicine and Rehabilitation	87	78	$62.24	1
Interventional Pain Management	76	71	$94.79	2
Family Practice	45	42	$61.08	2
Emergency Medicine	31	29	$60.15	1
General Practice	28	28	$46.67	1
Osteopathic Manipulative Medicine	20	19	$71.57	1
Hospitalist	13	11	$65.12	1
Internal Medicine	11	11	$66.44	1

00910 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	9,209	$87.77	$66.64	401
Pennsylvania	7,867	$70.20	$54.70	414
Ohio	6,263	$76.51	$60.13	281
New York	6,172	$93.96	$68.41	319
New Jersey	6,148	$91.24	$67.59	233
South Carolina	5,712	$70.61	$56.60	215
Georgia	5,327	$79.58	$62.83	236
Illinois	5,319	$87.03	$65.74	303
Virginia	5,168	$70.12	$55.72	209
Texas	4,680	$80.63	$63.80	247
Massachusetts	4,559	$77.53	$59.04	269
Mississippi	4,298	$81.45	$66.36	138
Michigan	4,159	$69.84	$53.23	237
Tennessee	4,032	$84.77	$68.32	170
North Carolina	3,812	$66.21	$52.95	205
California	3,360	$112.72	$86.35	172
Maryland	3,126	$106.14	$79.99	109
Missouri	2,821	$79.78	$62.81	158
Indiana	2,473	$85.13	$68.70	146
Kentucky	2,174	$85.24	$68.97	98
Alabama	1,973	$67.76	$55.59	120
Louisiana	1,918	$99.29	$79.98	102
Oklahoma	1,834	$95.02	$76.57	98
Arkansas	1,669	$96.79	$80.74	65
West Virginia	1,605	$60.29	$46.61	70
Minnesota	1,568	$77.96	$61.70	91
Arizona	1,478	$101.32	$79.95	92
Kansas	1,328	$91.28	$73.59	68
Iowa	971	$99.65	$78.24	57
Wisconsin	906	$77.93	$63.30	66
South Dakota	906	$63.79	$51.90	51
Connecticut	876	$75.89	$56.54	55
Delaware	824	$91.19	$72.51	41
Nebraska	708	$92.45	$75.15	39
Washington	687	$101.34	$79.71	48
Rhode Island	555	$81.11	$61.82	32
Colorado	521	$102.18	$80.61	35
New Hampshire	380	$80.25	$61.55	25
Oregon	327	$107.29	$84.95	19
Maine	276	$71.88	$54.06	16
District of Columbia	253	$86.13	$64.23	16
North Dakota	215	$63.32	$50.12	14
Idaho	158	$111.91	$89.65	8
Wyoming	154	$112.34	$87.27	11
New Mexico	138	$71.05	$56.54	9
Utah	118	$117.65	$94.70	9
Hawaii	114	$118.45	$95.85	6
Vermont	100	$83.17	$61.98	8
Montana	89	$103.85	$79.78	7
Nevada	89	$100.15	$69.58	6
Alaska	60	$197.25	$121.72	3
Puerto Rico	48	$123.60	$93.37	4
Guam	13	$121.33	$96.50	1

Related codes

00902Anesthesia for procedure on anus and rectum$110.44
00918Anesthesia for fragmenting$125.80
00914Anesthesia for removal of prostate including use of an endoscope$151.41
00912Anesthesia for removal of urinary bladder tumors including use of an e$127.00
00952Anesthesia for exam of uterus$114.51

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.