How much does Medicare pay for CPT 01270?

Medicare allowed an average of $293.44 per service and paid $232.52 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1368.47, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 01270?

Anesthesia for other procedure on artery of upper leg. It was billed 2,928 times to 2,479 Medicare beneficiaries by 76 providers in 2024.

Does 01270 pay differently in an office than a hospital?

Yes. The allowed amount averaged $273.54 in an office setting and $335.40 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 01270 most?

Certified Registered Nurse Anesthetist (CRNA), with 2,225 services from 30 clinicians. Next are Anesthesiology, Anesthesiology Assistant.

CPT 01270

Anesthesia for other procedure on artery of upper leg

$293.44Medicare-allowed amount per service, averaged across 2,928 services

Providers submitted

$1368.47

Asking price, not received

Medicare allowed

$293.44

The fee schedule figure

Medicare paid

$232.52

Balance is patient coinsurance

Providers submitted an average of $1368.47 for this code and Medicare allowed $293.44 — 4.7× 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 $232.52 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $273.54
Hospital / facility: $335.40

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 1,986 services were billed in an office setting and 942 in a facility.

Services: 2,928
Beneficiaries: 2,479
Providers billing it: 76
Total allowed: $859,192

What Medicare pays for CPT 01270

Across 2,928 services billed by 76 providers to 2,479 beneficiaries, Medicare allowed an average of $293.44 per service. That is 1.2 services per beneficiary, so this is a code patients typically receive more than once. 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 01270

Specialty	Services	Beneficiaries	Avg allowed	Providers
Certified Registered Nurse Anesthetist (CRNA)	2,225	1,833	$275.64	30
Anesthesiology	691	635	$351.67	45
Anesthesiology Assistant	12	11	$241.39	1

01270 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
California	1,223	$306.29	$237.88	11
Texas	568	$207.65	$167.62	12
Maryland	252	$312.47	$244.40	3
Mississippi	138	$195.69	$159.14	2
New York	119	$471.75	$339.55	8
Arizona	118	$347.25	$280.70	3
Oklahoma	83	$375.01	$303.82	7
Alabama	65	$281.28	$223.88	3
Tennessee	63	$317.55	$261.09	4
North Carolina	48	$248.51	$204.85	4
Florida	39	$288.53	$225.32	3
Arkansas	32	$270.94	$230.38	2
Missouri	30	$281.00	$226.61	2
Massachusetts	26	$528.53	$416.96	2
Ohio	15	$342.00	$269.82	1
Michigan	15	$521.33	$435.18	1
South Carolina	13	$241.19	$197.23	1
Minnesota	12	$221.00	$183.55	1
Virginia	12	$369.12	$299.07	1
Washington	12	$492.49	$392.65	1
New Hampshire	12	$333.62	$237.26	1
Pennsylvania	11	$249.29	$191.28	1
West Virginia	11	$232.18	$188.84	1
Iowa	11	$180.33	$152.52	1

Related codes

01214Anesthesia for total hip replacement$225.70
01230Anesthesia for procedure on upper 2/3rd of thigh bone$175.07
01210Anesthesia for other procedure on hip joint$177.75

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.