How much does Medicare pay for CPT 01112?

Medicare allowed an average of $102.91 per service and paid $80.59 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1213.56, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 01112?

Anesthesia for bone marrow aspiration and/or biopsy at pelvic bone. It was billed 7,371 times to 7,187 Medicare beneficiaries by 244 providers in 2024.

Does 01112 pay differently in an office than a hospital?

Yes. The allowed amount averaged $132.63 in an office setting and $99.54 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 01112 most?

Certified Registered Nurse Anesthetist (CRNA), with 3,353 services from 114 clinicians. Next are Anesthesiology, Anesthesiology Assistant, Pain Management.

CPT 01112

Anesthesia for bone marrow aspiration and/or biopsy at pelvic bone

$102.91Medicare-allowed amount per service, averaged across 7,371 services

Providers submitted

$1213.56

Asking price, not received

Medicare allowed

$102.91

The fee schedule figure

Medicare paid

$80.59

Balance is patient coinsurance

Providers submitted an average of $1213.56 for this code and Medicare allowed $102.91 — 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 $80.59 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $132.63
Hospital / facility: $99.54

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. 751 services were billed in an office setting and 6,620 in a facility.

Services: 7,371
Beneficiaries: 7,187
Providers billing it: 244
Total allowed: $758,550

What Medicare pays for CPT 01112

Across 7,371 services billed by 244 providers to 7,187 beneficiaries, Medicare allowed an average of $102.91 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 01112

Specialty	Services	Beneficiaries	Avg allowed	Providers
Certified Registered Nurse Anesthetist (CRNA)	3,353	3,244	$112.90	114
Anesthesiology	3,233	3,168	$99.84	111
Anesthesiology Assistant	676	668	$70.07	17
Pain Management	67	65	$67.99	1
Preventive Medicine	42	42	$124.94	1

01112 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	3,137	$76.46	$57.43	77
Minnesota	966	$126.01	$98.95	32
Arizona	872	$125.66	$98.94	25
Texas	680	$134.21	$103.39	35
Arkansas	440	$116.96	$98.06	26
New York	412	$126.26	$87.49	7
California	149	$118.29	$90.68	3
Tennessee	138	$151.57	$124.17	5
North Dakota	93	$67.65	$54.92	7
Kentucky	82	$130.76	$108.33	3
South Dakota	67	$58.59	$44.48	4
Kansas	51	$109.04	$88.87	4
Illinois	50	$107.11	$84.44	3
New Jersey	45	$115.23	$87.62	3
Michigan	39	$74.45	$58.03	3
Massachusetts	35	$68.81	$53.23	1
Nebraska	25	$137.60	$115.31	1
Missouri	24	$60.61	$48.76	1
Mississippi	23	$59.06	$49.32	1
Idaho	20	$130.69	$100.31	1
Oklahoma	12	$114.06	$93.92	1
Georgia	11	$136.02	$115.04	1

Related codes

01160Anesthesia for closed procedure on pubic bone or pelvic joint$96.39

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.