How much does Medicare pay for CPT 00914?

Medicare allowed an average of $151.41 per service and paid $118.62 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1710.20, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 00914?

Anesthesia for removal of prostate including use of an endoscope. It was billed 12,728 times to 12,691 Medicare beneficiaries by 795 providers in 2024.

Does 00914 pay differently in an office than a hospital?

Yes. The allowed amount averaged $150.97 in an office setting and $151.42 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 00914 most?

Anesthesiology, with 8,549 services from 530 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Pain Management.

CPT 00914

Anesthesia for removal of prostate including use of an endoscope

$151.41Medicare-allowed amount per service, averaged across 12,728 services

Providers submitted

$1710.20

Asking price, not received

Medicare allowed

$151.41

The fee schedule figure

Medicare paid

$118.62

Balance is patient coinsurance

Providers submitted an average of $1710.20 for this code and Medicare allowed $151.41 — 11.3× 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 $118.62 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $150.97
Hospital / facility: $151.42

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 319 services were billed in an office setting and 12,409 in a facility.

Services: 12,728
Beneficiaries: 12,691
Providers billing it: 795
Total allowed: $1,927,146

What Medicare pays for CPT 00914

Across 12,728 services billed by 795 providers to 12,691 beneficiaries, Medicare allowed an average of $151.41 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 00914

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	8,549	8,524	$151.23	530
Certified Registered Nurse Anesthetist (CRNA)	3,876	3,864	$154.18	244
Anesthesiology Assistant	194	194	$104.65	14
Pain Management	85	85	$149.56	5
Interventional Pain Management	12	12	$206.02	1
Internal Medicine	12	12	$94.75	1

00914 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	1,232	$158.67	$121.23	86
California	1,021	$215.31	$162.88	64
Texas	903	$137.01	$106.91	52
New York	849	$184.35	$130.59	41
Virginia	778	$116.35	$92.06	38
Maryland	716	$191.67	$143.77	40
South Carolina	665	$111.18	$89.46	42
Pennsylvania	526	$123.83	$95.38	36
Illinois	470	$144.50	$105.92	30
Ohio	463	$127.85	$100.40	29
North Carolina	447	$114.57	$92.26	30
Arizona	421	$179.63	$142.94	25
Massachusetts	393	$131.61	$100.31	26
Indiana	343	$154.88	$125.41	20
New Jersey	339	$145.31	$108.15	23
Georgia	325	$116.05	$89.22	22
Oklahoma	247	$174.99	$139.95	15
Kansas	231	$136.14	$106.13	15
Michigan	218	$106.54	$83.81	15
Tennessee	182	$145.07	$115.48	11
Nebraska	172	$115.78	$96.28	12
Mississippi	168	$149.34	$120.85	11
Missouri	167	$144.35	$112.11	11
Kentucky	155	$110.64	$86.83	8
Delaware	134	$114.20	$89.48	10
Colorado	121	$178.67	$141.47	9
District of Columbia	119	$132.97	$101.58	8
Minnesota	117	$188.58	$148.15	9
Washington	97	$189.32	$145.85	7
Nevada	80	$186.41	$148.97	6
Idaho	74	$214.27	$169.05	5
Louisiana	70	$134.94	$111.95	5
Connecticut	68	$154.00	$115.37	5
Wisconsin	63	$166.22	$130.42	5
Arkansas	59	$186.23	$153.20	4
Maine	44	$85.53	$63.50	2
Utah	39	$206.62	$166.39	3
Oregon	35	$183.85	$146.49	2
Rhode Island	32	$111.09	$87.10	2
West Virginia	29	$131.16	$102.04	2
South Dakota	26	$95.25	$79.02	2
Alabama	24	$94.84	$79.57	2
Puerto Rico	19	$187.38	$149.57	1
Hawaii	13	$222.20	$177.76	1
Iowa	12	$261.58	$187.65	1
New Mexico	11	$109.93	$89.06	1
Guam	11	$175.96	$140.29	1

Related codes

00910Anesthesia for other procedure on urinary system through urethra$82.98
00902Anesthesia for procedure on anus and rectum$110.44
00918Anesthesia for fragmenting$125.80
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.